Uncovering Emotional Dysregulation in Women with ADHD with Dr. Gilly Kahn
Sun Feb 01 2026
In this episode of Overcoming Distractions, Dave welcomes Dr. Gilly Kahn, a clinical psychologist, ADHD specialist, and author of the new book, Allow Me to Interrupt. While ADHD is often associated with external disruptions in boys, Dr. Kahn highlights how it frequently manifests internally as emotional dysregulation in women.
The conversation dives deep into why women are often diagnosed later in life and how biological factors, specifically hormonal shifts, play a critical role in how ADHD symptoms fluctuate.
Key Discussion Points
The Gender Bias in Diagnosis: Dr. Kahn discusses how current ADHD diagnostic criteria are historically rooted in observations of male children, often leading to women provided with an accurate diagnosis. The Estrogen-Dopamine Connection: A fascinating look at how fluctuating estrogen levels during the menstrual cycle, pregnancy, and perimenopause directly impact dopamine availability, often exacerbating ADHD symptoms during the luteal phase. Late-Life Diagnosis: Why many professional women aren't diagnosed until their 40s or 50s, often triggered by the increased cognitive load of demanding careers, parenting, or perimenopause. Co-occurring Physical Challenges: The link between ADHD and chronic health issues like migraines, which further complicate emotional and physical regulation. Strategic Management: Practical advice on "capitalizing" on high-energy weeks and practicing self-compassion during more difficult hormonal shifts. You can find Dr. Kahn at her website: https://www.drgillykahn.com/
**Do you want to work with Dave one-on-one? Go to www.overcomingdistractions.com and book an introductory Zoom chat. Or go directly to Dave's calendar; https://calendly.com/davidgreenwood1/15min
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In this episode of Overcoming Distractions, Dave welcomes Dr. Gilly Kahn, a clinical psychologist, ADHD specialist, and author of the new book, Allow Me to Interrupt. While ADHD is often associated with external disruptions in boys, Dr. Kahn highlights how it frequently manifests internally as emotional dysregulation in women. The conversation dives deep into why women are often diagnosed later in life and how biological factors, specifically hormonal shifts, play a critical role in how ADHD symptoms fluctuate. Key Discussion Points The Gender Bias in Diagnosis: Dr. Kahn discusses how current ADHD diagnostic criteria are historically rooted in observations of male children, often leading to women provided with an accurate diagnosis. The Estrogen-Dopamine Connection: A fascinating look at how fluctuating estrogen levels during the menstrual cycle, pregnancy, and perimenopause directly impact dopamine availability, often exacerbating ADHD symptoms during the luteal phase. Late-Life Diagnosis: Why many professional women aren't diagnosed until their 40s or 50s, often triggered by the increased cognitive load of demanding careers, parenting, or perimenopause. Co-occurring Physical Challenges: The link between ADHD and chronic health issues like migraines, which further complicate emotional and physical regulation. Strategic Management: Practical advice on "capitalizing" on high-energy weeks and practicing self-compassion during more difficult hormonal shifts. You can find Dr. Kahn at her website: https://www.drgillykahn.com/ **Do you want to work with Dave one-on-one? Go to www.overcomingdistractions.com and book an introductory Zoom chat. Or go directly to Dave's calendar; https://calendly.com/davidgreenwood1/15min