Adele Wimsett
👤 SpeakerAppearances Over Time
Podcast Appearances
Yeah, so this is a really interesting one and probably one of my most asked questions from women who come to work with me is, what do you think about medication? And for me, I think it's a really personal journey. I think the kind of backstory is we have to acknowledge the gender bias in the research and understanding around ADHD.
Of course, most of our understanding around health, but it's really stark in ADHD because mostly everything we know about ADHD, diagnosis, assessment, support, intervention, treatment, is based on a male physiology. So we have all of these medications that have evolved being tested on males.
Of course, most of our understanding around health, but it's really stark in ADHD because mostly everything we know about ADHD, diagnosis, assessment, support, intervention, treatment, is based on a male physiology. So we have all of these medications that have evolved being tested on males.
Of course, most of our understanding around health, but it's really stark in ADHD because mostly everything we know about ADHD, diagnosis, assessment, support, intervention, treatment, is based on a male physiology. So we have all of these medications that have evolved being tested on males.
So we bring in this massive, effectively influx of women with a fluctuating, cyclical, different endocrine system, and we see a different effect of the medication.
So we bring in this massive, effectively influx of women with a fluctuating, cyclical, different endocrine system, and we see a different effect of the medication.
So we bring in this massive, effectively influx of women with a fluctuating, cyclical, different endocrine system, and we see a different effect of the medication.
So I would say very roughly in my community of women who choose medication, it either changes their lives or it's an absolute nightmare trying to get it right and they just end up giving up on it because it'll be like, oh, it kind of does this a bit and then it will work at certain times in the cycle because estrogen sensitizes it or it won't work at other times because progesterone stops it working.
So I would say very roughly in my community of women who choose medication, it either changes their lives or it's an absolute nightmare trying to get it right and they just end up giving up on it because it'll be like, oh, it kind of does this a bit and then it will work at certain times in the cycle because estrogen sensitizes it or it won't work at other times because progesterone stops it working.
So I would say very roughly in my community of women who choose medication, it either changes their lives or it's an absolute nightmare trying to get it right and they just end up giving up on it because it'll be like, oh, it kind of does this a bit and then it will work at certain times in the cycle because estrogen sensitizes it or it won't work at other times because progesterone stops it working.
So I would say in the last 18 months, there's much more of an acknowledgement of this of prescribers, but they don't know what to do about it. So what they're doing is like, well, we'll add a little bit in here in your luteal phase, we'll up your dose, we'll try an SSRI as well. There's kind of this practice on women of trying to...
So I would say in the last 18 months, there's much more of an acknowledgement of this of prescribers, but they don't know what to do about it. So what they're doing is like, well, we'll add a little bit in here in your luteal phase, we'll up your dose, we'll try an SSRI as well. There's kind of this practice on women of trying to...
So I would say in the last 18 months, there's much more of an acknowledgement of this of prescribers, but they don't know what to do about it. So what they're doing is like, well, we'll add a little bit in here in your luteal phase, we'll up your dose, we'll try an SSRI as well. There's kind of this practice on women of trying to...
optimized medication when the hormones are having more of a powerful effect on the effectiveness of those meds. So it's really hit and miss is what I tend to see. It can change women's lives or it can be quite a dance to try and get it right.
optimized medication when the hormones are having more of a powerful effect on the effectiveness of those meds. So it's really hit and miss is what I tend to see. It can change women's lives or it can be quite a dance to try and get it right.
optimized medication when the hormones are having more of a powerful effect on the effectiveness of those meds. So it's really hit and miss is what I tend to see. It can change women's lives or it can be quite a dance to try and get it right.
I think something for me as well, because obviously my bias is always going to be, let's deal with your hormones and see what you're left with. Because what I don't want to see in my women is that they're trying to use an ADHD medication to deal with a hormone imbalance and vice versa. And that for me is where, let's get the hormones right and then see what you're left with.
I think something for me as well, because obviously my bias is always going to be, let's deal with your hormones and see what you're left with. Because what I don't want to see in my women is that they're trying to use an ADHD medication to deal with a hormone imbalance and vice versa. And that for me is where, let's get the hormones right and then see what you're left with.
I think something for me as well, because obviously my bias is always going to be, let's deal with your hormones and see what you're left with. Because what I don't want to see in my women is that they're trying to use an ADHD medication to deal with a hormone imbalance and vice versa. And that for me is where, let's get the hormones right and then see what you're left with.
So you're trying to really deal with the ADHD with ADHD medication. rather than going, oh, actually, is this progesterone deficiency? Or is this happening here? So when women try and do it all at once, I don't suggest that. And obviously, my bias is going to be, let's sort your hormones and see what you're left with.