Hormones, Health, and the ADHD Brain with Dr. Anupriya Gogne

Hey team!

This week, I'm talking with Dr. Anupriya Gogne, a psychiatrist at Brown University Health in Rhode Island. Dr. Gonge works at the crossroads of addiction psychiatry and neurodevelopmental disorders, with a specific focus on treating ADHD during pregnancy and the postpartum period. She's dedicated to clearing up the misinformation surrounding medication safety during pregnancy, which can be seen in her book, Neurodevelopmental Disorders in Adult Women: Special Considerations in the Perinatal Period.

In our conversation, we dive into why hormonal fluctuations turn ADHD symptoms into a "perfect storm," the actual science behind "mom brain," and why your internal systems for keeping your life together tend to implode the moment a baby enters the picture. We also get into the nuances of how ADHD presents in women versus men, specifically regarding internal hyperactivity and emotional regulation.

If you'd life to follow along on the show notes page you can find that at HackingYourADHD.com/281

YouTube: https://tinyurl.com/y835cnrk

Patreon: https://www.patreon.com/HackingYourADHD

This Episode's Top Tips

1. 1. When ADHD symptoms suddenly appear or worsen, it's often not because the brain has changed, but rather that the environment's demands have finally exceeded the brain's compensatory systems. When life transitions occur, such as having a child, external chaos disrupts the systems that previously helped keep the ADHD in check.
   2. Chronic sleep deprivation isn't just being tired; it's also a failure of the memory consolidation system. While we are in deep sleep, our brain is encoding the day's events. If you aren't getting those stages, your working memory cannot function properly. These memory issues then compound with ADHD symptoms which can make it feel like you are experiencing early-onset dementia.
   3. In many adults, and especially in women, hyperactivity often isn't physical; instead, it's mental. It can manifest as negative self-talk on a loop, racing thoughts, or just feel like you have too many tabs open in your brain. Shifting the mental model to see internal ruminating as a form of hyperactivity helps identify the need for mental breaks rather than just physical outlets.