+
upworthy
Health

You're not going crazy. ADHD meds don't work while you're on your period

ADHD; period; ADHD medication

woman laying on bed

I was diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) Inattentive Type about three years ago—I was a fully functioning adult, married with children before finding out that my brain worked a bit differently. Of course I've known that I functioned a bit differently than my friends since childhood. The signs were there early on, but in the '80s diagnosing a girl with ADHD just wasn’t a thing that happened.

Much of the early criteria for ADHD was written based on how it presented in males, more specifically, white male children, and I was neither. Women like me are being diagnosed more and more lately and it’s likely because social media has connected us in a way that was lacking pre- doom scrolling days.

With the help of social media, women can connect with others who share the same symptoms that were once a source of shame. They can learn what testing to ask for and how to advocate for themselves while having an army of supporters that you’ve never met to encourage you along the way. A lot of women that are diagnosed later in life don’t want medication, they just want an answer. Finally having an answer is what nearly brought me to tears. I wasn’t lazy and forgetful because I didn’t care. I had a neurological disorder that severely impacted my ability to pay attention to detail and organize tasks from most important to least. Just having the answer was a game changer, but hearing that untreated ADHD can cause unchecked anxiety, which I had in spades, I decided to listen to my doctor and give medication a try.


About 30 minutes after my first pill I was actually able to sit still. My brain slowed down and thought one thing at a time. I was suddenly able to finish the tasks that I started in a few minutes instead of hours, or not getting done at all. I remember calling my older brother and crying into the phone telling him that for the first time in my life I was able to not only sit and create a list, but mark stuff off said list. The excitement over my new found executive functioning skills wrapped in a peach colored diamond shaped pill was short lived. For a week out of the month, the pill did nothing. My brain went back to ping ponging from idea to idea, subject to subject. Things for work went unfinished or were messily completed in a last minute hurry. It was beyond frustrating, and no one had an answer as to why my period affected my medication.

My psychiatrist at the time suggested that I was building up a tolerance, but I took “medication vacations” and really only took it during the work week. It wasn’t until I reached out in a group specifically for moms with ADHD out of sheer exasperation that I got answers. Comment after comment were women saying, “my meds don’t work when I’m on my period either.” So many women didn’t have an answer as to why, it was just something that they’ve accepted that comes along with being a woman with ADHD. A week out of the month, your medication that literally helps you function is essentially reduced to being a Tic-Tac. It has no effect, and the symptoms of ADHD are cranked up to 100 that week. It was the most fascinating, bizarre and infuriating revelation. Why isn’t this talked about more?

ADHD; ADHD medication

orange and white pills

Photo by Christina Victoria Craft on Unsplash

It seems that women are left to either struggle with thinking they’ve lost their minds or that their medication needs to be increased, when a lot of the time neither is true. In fact, after doing a bit of research I found a few articles written about the effects of estrogen on ADHD symptoms, but had difficulty finding one that was peer reviewed. Most articles were written by therapists and ADHD coaches that have been doing their own research into the matter to help their clients that menstruate.

One of the few peer reviewed articles found was by Chris Iliades, MD and peer reviewed by Lindsey Marcellin, MD, MPH. In the article, Iliades notes that “The hormone estrogen affects receptors in the brain that release the naturally occurring chemicals serotonin, dopamine, and norepinephrine. When estrogen levels drop during the weeks before a menstrual period or during the years before menopause, so does the level of these brain chemicals.” He goes on to explain, “because symptoms of ADHD are affected by many of these same brain chemicals, it stands to reason that women with ADHD are more sensitive to estrogen.”

The breakdown of how these chemicals work in conjunction with estrogen, which fluctuates throughout your menstrual cycle, is indeed interesting. But why are articles highlighting this issue outliers? Why aren’t doctors who prescribe these medications more forthcoming with this information? It makes you wonder if doctors are aware at all or if the biological makeup of women and girls taking ADHD medication is an afterthought that medicine has to catch up with. If it is an afterthought, there are thousands, if not hundreds of thousands of menstruating people who would love more research done on this—taking a weeks long vacation from work and daily life isn’t feasible. Here’s hoping for more research and doctors like Chris Iliades to tell us what to expect when ADHD and periods meet.

True

Making new friends as an adult is challenging. While people crave meaningful IRL connections, it can be hard to know where to find them. But thanks to one Facebook Group, meeting your new best friends is easier than ever.

Founded in 2018, NYC Brunch Squad brings together hundreds of people who come as strangers and leave as friends through its in-person events.

“Witnessing the transformative impact our community has on the lives of our members is truly remarkable. We provide the essential support and connections needed to thrive amid the city's chaos,” shares Liza Rubin, the group’s founder.

Despite its name, the group doesn’t just do brunch. They also have book clubs, seasonal parties, and picnics, among other activities.

NYC Brunch Squad curates up to 10 monthly events tailored to the specific interests of its members. Liza handles all the details, taking into account different budgets and event sizes – all people have to do is show up.

“We have members who met at our events and became friends and went on to embark on international journeys to celebrate birthdays together. We have had members get married with bridesmaids by their sides who were women they first connected with at our events. We’ve had members decide to live together and become roommates,” Liza says.

Members also bond over their passion for giving back to their community. The group has hosted many impact-driven events, including a “Picnic with Purpose” to create self-care packages for homeless shelters and recently participated in the #SquadSpreadsJoy challenge. Each day, the 100 members participating receive random acts of kindness to complete. They can also share their stories on the group page to earn extra points. The member with the most points at the end wins a free seat at the group's Friendsgiving event.

Keep ReadingShow less
Democracy

This Map Reveals The True Value Of $100 In Each State

Your purchasing power can swing by 30% from state to state.

Image by Tax Foundation.

Map represents the value of 100 dollars.

As the cost of living in large cities continues to rise, more and more people are realizing that the value of a dollar in the United States is a very relative concept. For decades, cost of living indices have sought to address and benchmark the inconsistencies in what money will buy, but they are often so specific as to prevent a holistic picture or the ability to "browse" the data based on geographic location.

The Tax Foundation addressed many of these shortcomings using the most recent (2015) Bureau of Economic Analysis data to provide a familiar map of the United States overlaid with the relative value of what $100 is "worth" in each state. Granted, going state-by-state still introduces a fair amount of "smoothing" into the process — $100 will go farther in Los Angeles than in Fresno, for instance — but it does provide insight into where the value lies.

Keep ReadingShow less
Identity

One man turned nursing home design on its head when he created this stunning facility

"What if we design an environment that looks like outside?" he said. "What if I can have a sunrise and sunset inside the building?



92-year-old Norma had a strange and heartbreaking routine.

Every night around 5:30 p.m., she stood up and told the staff at her Ohio nursing home that she needed to leave. When they asked why, she said she needed to go home to take care of her mother. Her mom, of course, had long since passed away.

Behavior like Norma's is quite common for older folks suffering from Alzheimer's or other forms of dementia. Walter, another man in the same assisted living facility, demanded breakfast from the staff every night around 7:30.

Keep ReadingShow less
via PixaBay

Being an adult is tough.

Nothing can ever fully prepare you for being an adult. Once you leave childhood behind, the responsibilities, let-downs and setbacks come at you fast. It’s tiring and expensive, and there's no easy-to-follow roadmap for happiness and success.

A Reddit user named u/Frequent-Pilot5243 asked the online forum, “What’s an adult problem nobody prepared you for?” and there were a lot of profound answers that get to the heart of the disappointing side of being an adult.

One theme that ran through many responses is the feeling of being set adrift. When you’re a kid, the world is laid out as a series of accomplishments. You learn to walk, you figure out how to use the bathroom, you start school, you finish school, maybe you go to college, and so on.

Keep ReadingShow less
Joy

7 things Black people want their well-meaning white friends to know

"You, white friend, need to speak up and say something when I can't."

Growing up black in a white neighborhood.

I grew up black in a very white neighborhood in a very white city in a very white state.

As such, I am a lot of people's only black friend.

Keep ReadingShow less

Charlie Munger of Berkshire Hathaway.

Charles Munger, Vice Chairman of Berkshire Hathaway and Warren Buffet’s closest business partner, passed away on Tuesday, November 28, at 99. Buffett and Munger's partnership lasted over 50 years, producing Berkshire Hathaway, one of the largest and most successful conglomerates in history.

When Munger passed, his estimated worth was $2.6 billion. Buffet, 93, is believed to be worth $119 billion.

But Munger was far more than just a wealthy man. Apple CEO Tim Cook called Munger a “keen observer of the world around him,” and he was known for his pithy bits of common-sense wisdom known as “Mungerisms.”

Keep ReadingShow less
Health

If you're grieving a loved one this holiday season, here's a gift you can give yourself

After losing her almost-4-year-old daughter to epilepsy, Kelly Cervantes created a "grief companion" that meets people wherever they are in their grief journey.

Images courtesy of Kelly Cervantes

Kelly Cervantes wrote her way through grieving the loss of her daughter, Adelaide.

Kelly Cervantes begins the Introduction to her book with five words: "Grief sucks. It's also weird." It's a concise truth that anyone who has lost a loved one knows all too well.

Grief is a universal experience—none of us get through life without loss—but it's also unique to each person. Most of us are familiar with the popular "stages of grief" theory, but denial, anger, bargaining, depression, and acceptance (along with guilt and a host of things) are less like sequential rungs on a ladder and more like pools you fall into at various times as you stumble your way through the grief process. Grief is not linear and it's not neat and tidy and it's not predictable.

Take it from someone who's been there. Kelly Cervantes lost her daughter, Adelaide, to epilepsy just shy of her 4th birthday. Using writing as a therapeutic tool to help her process Adelaide's medically complex life, death and everything that came after, Kelly created the book she wished she'd had as she was trying to navigate her own grieving process.

Keep ReadingShow less