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ADHD

Hormonal, physical, and emotional changes during the perinatal period may impact the presentation of ADHD symptoms. ADHD symptoms can be hard to distinguish from other mental health or neurodevelopmental conditions that often co-occur with ADHD, or from life experiences such as
pregnancy. Additionally, female ADHD patients may be more likely to experience premenstrual dysphoric disorder (PMDD) and postpartum depression after first childbirth.21

ADHD in the perinatal period can present unique challenges, as the increased demands of pregnancy, birth, and early motherhood often exacerbate difficulties with organization, focus, and emotional regulation. Many women with ADHD experience heightened overwhelm, forgetfulness, and difficulties managing the mental load of parenting, which can contribute to feelings of inadequacy or anxiety. Sleep deprivation and hormonal fluctuations may further impact executive functioning, making it harder to maintain routines or cope with stress. Additionally, some women may have to discontinue stimulant medication during pregnancy and breastfeeding, leaving them without a key support mechanism. Despite these challenges, strategies such as structured routines, external supports, and self-compassion can help mothers with ADHD navigate this transition more smoothly. Access to ADHD-informed healthcare providers, practical accommodations, and community support can be instrumental in helping mothers manage symptoms while maintaining their mental well-being and connection with their baby.