Dr. Gilly Kahn, a licensed psychologist specializing in ADHD, shares her journey with ADHD and discusses the impact of hormonal fluctuations on symptoms. She provides insights on managing emotions, social skills, and migraines in individuals with ADHD.
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insights INSIGHT
Estrogen Fluctuations Impact ADHD Symptoms
Hormonal fluctuations, especially estrogen changes, strongly affect ADHD symptoms via multiple neurotransmitters (acetylcholine, serotonin, norepinephrine) beyond dopamine.
Gilly links her college-onset migraines and later PCOS to estrogen instability that worsened attention, memory, and mood.
volunteer_activism ADVICE
Talk With Providers About Cycle Effects Even Without Guidelines
There is no standard protocol to adjust stimulant doses across the menstrual cycle; psychiatrists often lack training on this nuance.
Gilly reports stimulants can temporarily reduce migraine symptoms by boosting dopamine, but migraines return when medication wears off.
insights INSIGHT
Migraines Can Look Like Stomach Problems In Kids
Migraines can present atypically, especially in children, appearing as stomach issues or nausea rather than classic headache.
Gilly references work suggesting gut-origin theories and historical gender bias that minimized women's migraine reports.
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Welcome back to another episode of ADHD reWired. Our guest today is Dr. Gilly Khan, Ph.D., a licensed psychologist who specializes in working with children, teens, and young adults dealing with anxiety, depression, and ADHD. In this episode, Dr. Khan shares her personal journey with ADHD, discusses the impact of hormonal fluctuations on ADHD symptoms, and offers practical advice on improving emotional regulation and social skills. Dr. Gilly Khan's Journey with ADHD Dr. Gilly Khan was diagnosed with ADHD at the age of 33, a revelation that came as no surprise to her. Like many women, she had suspected for years that she might have ADHD. Her journey towards diagnosis began when she noticed ADHD symptoms in her young daughter, leading her to seek a diagnosis for herself. Encouraged by a colleague who was open about her ADHD diagnosis, Dr. Khan decided to embrace her neurodiversity and advocate for herself and her clients. The Impact of Hormonal Fluctuations on ADHD One of the most significant insights Dr. Khan offers is the connection between hormones, particularly estrogen, and ADHD symptoms. She explains that hormonal fluctuations can significantly impact mood, memory, and overall ADHD symptoms. This is crucial for women, especially during periods of hormonal change such as menstruation, pregnancy, and menopause. Dr. Khan shares her personal experience with migraines, which she began having in college, and later discovered were linked to estrogen levels. Her experience highlights the importance of considering hormonal influences when diagnosing and treating ADHD in women. Practical Advice for Emotional Regulation Dr. Khan emphasizes that medication can significantly help reduce ADHD symptoms, including emotional dysregulation. However, she also discusses the importance of practical strategies to manage emotions. One key approach is to take a time-out when feeling overwhelmed and practice coping skills like deep breathing in a calm environment before re-engaging with the situation. Dr. Khan's recommendation to include parents in the process is particularly insightful. Coaching parents to help their children recognize emotional dysregulation and use coping strategies can make a significant difference. Social Skills in ADHD Addressing social skills, Dr. Khan discusses the effectiveness of social skills groups, especially when tailored to the needs of neurodivergent individuals. She notes the importance of applied practice and the role of parents in coaching their children outside of therapy sessions. For adults with ADHD, Dr. Khan suggests finding activities and clubs that align with their interests to facilitate meeting like-minded individuals. She also highlights the importance of planning social interactions, just like planning professional activities, to maintain relationships. Overcoming Social Challenges Both Eric and Dr. Khan share personal anecdotes about the challenges of remembering names and maintaining social connections. Practical tips such as using a planner to schedule social activities and taking photos to remember names illustrate how even small strategies can make a big difference. Advocacy and Self-Education Dr. Khan stresses the importance of self-advocacy and educating oneself about ADHD. She advises seeking out credible resources and being prepared to discuss specific symptoms and experiences with healthcare providers. Her message is clear: understanding and advocating for one's own neurodiversity is crucial for effective treatment and self-acceptance. Conclusion Dr. Gilly Khan's insights provide a deeper understanding of the complexities of ADHD, particularly in women. From the impact of hormonal fluctuations to practical strategies for emotional regulation and social skills, her expertise offers valuable guidance for both individuals with ADHD and those supporting them. To learn more about Dr. Gilly Khan, her work, and her upcoming book on emotional dysregulation, visit her website at drgillykhan.com and follow her on Instagram at @drgillykhan. Thank you for tuning into ADHD reWired. If you found this episode helpful, consider supporting the podcast on Patreon, and don't forget to subscribe so you never miss an episode. Together, we can continue to learn, grow, and support one another in our ADHD journeys. *Shownotes generated by Ai
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