this post was submitted on 25 Feb 2026
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ADHD Women

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I got some book recommendations from another community to see what has been discovered about ADHD since I got diagnosed 20 years ago. I bought a few and they haven't been delivered yet. For example, I didn't know my auditory sensitivities and rejection sensitivities were associated until recently. Also, daydreaming apparently.

But right now I'm in my mid-40s and I can't function. The political situation in the US is dangerous, there are serious issues with ethics and safety at my job that would have never been as prevalent when I started 20 years ago, there are pedophiles and people who protect them represented by half the population. So at this point, people scare me, I feel alone, and I think everyone else is nuts. You all know what they say about that.

With everything going on and my inability to handle basic tasks, I feel like I'm going nuts. It could cause trouble with my job soon. Any basic additional everyday problem is a major issue I can't handle. I can't focus at all, I can't do any hobby with decision paralysis, my anxiety is through the roof, and ADHD is ruining my life.

I'm too old to add more amphetamine s to my dosage. What can I do? Would a therapist be able to even do anything here?

Do employee assistance programs help?

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[–] LavaPlanet@sh.itjust.works 2 points 16 hours ago

Propranolol? It's definitely helped my anxiety. You might find some ease with some dbt skills, too. Whatever you focus on, is what you end up seeing the most of. Like when you buy a yellow car, all of a sudden you see yellow cars everywhere. They were always there. Not to in any way minimise what's happening. But you need to get through this, and the more solid you are, the more you will be able to actually choose to be part of building something better, when it comes to that. The more you focus on the scary stuff, the more your brain becomes practiced at spotting the scary, the mire you practice anything the more you perfect it. You don't need to perfect flooding your brain, perfecting noticing, everything is scary. You won't miss it. It's ok to put it down and notice all the other things happening, all the good, all the rising up, all the fighting back, just even all the adorable fluffy animals. For every one bad thing that floods your brain, go and find 3 things that counter balance. They're there, you just haven't been noticing them before. It's hard at first because you aren't practiced in finding the good, yet. But the more you do it, the more you train your brain to notice them, and soon that tide will flip.

Complete the stress cycle. Your brain is stuck in fight or flight because you haven't told it the dinosaur is gone. Move your body, do some breathing exercises. Mindfulness is about being in the moment, noticing what's around you, in such a way that it turns off your fight or flight and tells your brain it's safe to just be, right now.

Your brain has a whole part that's non verbal, just speaks to you in emotions, can't understand words, does understand actions. A lot of those breathing techniques just tell that part of your brain, it's safe right now. You don't breathe all relaxed if a dinosaur is about to bite you. And maybe there's some dinosaurs around, right now, but even if there are, your fight or flight brain shuts down your thinking brain, it pulls the plug. To get through things happening right now, you actually need your thinking brain active. So no matter what, you don't need to be setting off your fight or flight, right now. It's ok to turn it off.

Now let's talk about your thinking brain. It's job is to prattle on. It sees an emotion happening and guesses why, it's a very habitual creature, if you set it a task, it will keep doing that task, until you rewire it. Rewiring your thinking brain, seems hard at first, you just slowly remind it, where you want it to be, and it seems like it's not working, but you persist, and then one day, bam, rewired. Takes heaps of effort, because you have to literally build new neural pathways.

There are things you can do that send code to your physical body, it sends messages to your system to turn off the alarm systems.

EMDR therapy was discovered by a guy watching birds. He noticed that he felt calmer. He discovered looking from side to side at a certain pace, caused a physiological reaction, it caused calm. And you can do a mini version of that, by walking in nature. Your eyes will naturally do the looking side to side, at the right pace,and after you have been walking for a bit you might notice you sigh, or you just feel better.

The levels of stress you are feeling are a physiological response you have triggered, that is designed to help you survive a very threatening situation, happening to you, right now, like your house being entirely engulfed in flames, right now. But that's not what's happening right now.

Right now some cronies are trying to scare everyone, because they know people can't utilise their intelligence to resist, when their fight or flight is activated, they're trying to scare and stress you like this, on purpose. Don't give them that power. Notice all the things they don't want you to see, they aren't allowing in the media etc.

Find your centre. Don't worry about what you're able to do, or not do, just notice how you feel, physically where do those emotions sit. Don't put meaning to them, just notice, listen and thank them, for their message, and let them pass like a balloon floating past. Just feel them, just listen, then let them go. Nothing else exists. Just feel, listen, thank them, let them dissolve. That's what they want to do.

Feelings get really loud, if they think you aren't listening to them, but listening doesn't involve letting them take the wheel.

You are not your feelings, you are not your thoughts. You are the entity that observes them. You get to choose.

[–] bus_factor@lemmy.world 25 points 1 day ago (1 children)

About half your post is dedicated to your various anxieties and moral qualms. I'm not saying those aren't justified, but they seem to be affecting you negatively based on your description. A therapist should be able to help you work on that part, and then hopefully the rest becomes more manageable?

[–] ScoffingLizard@lemmy.dbzer0.com 3 points 1 day ago (1 children)

That's cool. I contacted one that is booked up but recommended some others. Yeah, I don't know if it's a combination, but I'm unable to function.

[–] otter@lemmy.dbzer0.com 1 points 21 hours ago* (last edited 21 hours ago)

FWIW, if your insurance covers talk therapy (and, hopefully, medication as well), there's a strong possibility that it carries a maximum of billable intro sessions per month/year.

So, when you do hear back from potential therapists, don't assume that you have to road test them one at a time.

Max that shit out! 🤘🏻

(I mean, it's not like insurance is exactly in the business of doing any of us poors any favors, eh. Don't take my word for it, just listen to Mr. Incredible.🤓)

[–] in_my_honest_opinion@piefed.social 14 points 1 day ago (1 children)

Are you medicating? That and talk therapy will help a lot with gestures broadly at the world around us

Also remember the human mind didn't evolve for the kind of media overload we are all experiencing.

Be kind to yourself. Focus on small tasks. Ask for accomodations at work. Talk to loved ones.

Good luck. We're all in this together. Keep reaching out.

[–] ScoffingLizard@lemmy.dbzer0.com 2 points 1 day ago (1 children)

Yeah. Adderall, but I probably don't need to take more. I'm getting older and it sea like a bad idea. I just take 10mg a day or it makes me more anxious.

[–] SorryImLate@piefed.social 10 points 1 day ago (2 children)

Peri-menopause - get on hormone replacement therapy

The science is new so not all Dr are aware but the impact of female hormones on ADHD is huge, and peri-menopause basically doubles your ADHD symptoms

[–] Lhianna@feddit.org 2 points 18 hours ago

This, so much. Am 45 and the last few years things got worse and worse. Then the perimenopause symptoms got obvious and I started HRT. I'm still adjusting but I'm already feeling a lot better.

The science is new so not all Dr are aware

Ugh, and sadly if you're in the US. Bring in Med journal studies that align with your symptoms. It's so fucking infuriating it's needed but since we don't have universal medical care, research is fragmented.

https://journals.sagepub.com/doi/pdf/10.1177/10870547251355006

The above should help anybody who might be in a similar situation.

I'm a fair bit younger than you but this is me on a daily basis. I currently have a sink full of dishes from several days ago and the only thing allowing me to stay employed is that I work remote and have enough seniority to say no to some tasks without seeming uncooperative.

Stimulants don't seem to help me keep up any better and while my therapist certainly helps me keep from spiralling further about the state of the world, I'm not coping well either. If your insurance covers one, I would recommend trying a few to find one you can work with but it can be a bit hit or miss.

[–] queermunist@lemmy.ml 10 points 1 day ago* (last edited 1 day ago)

I noticed when I transitioned that my ADHD symptoms changed from manageable to impossible, so I suspect hormone changes as you get older can have a similar effect. I used to be the "can't sit still, constantly interrupts people, never pays attention" type, now I'm the "can't start or switch tasks, can't regulate emotions, hyperfixates on pointless shit" type. I was unmedicated for 20 years, now I'm going back to the psych to be reevaluated again because it's gotten so bad.

[–] RBWells@lemmy.world 1 points 1 day ago* (last edited 1 day ago)

EAP is safe enough if you need to talk to someone. And they can probably help you to organize a plan for help, if you are too overwhelmed to start. I'd take advantage of that first.

Personally, I agree with the suggestion for MHT, I thought I didn't have menopause symptoms because I didn't have hot flashes, but there are a whole list of other symptoms that can occur and brain fog & anxiety are among them.

The world is anxiety inducing, you aren't wrong to feel it, but the feelings won't change anything, right? I agree with your idea to start with the EAP, it's free.

ETA - are you getting exercise? Don't overlook that, it can help so much with so much.

[–] Cataphract@lemmy.ml 1 points 1 day ago

Sorry if I'm not suppose to comment in this space (don't see a specific rule in the sidebar) but just wanted to share what I'm trying out because I'm going through something similar atm and in the same age bracket.

I've decided I'm done with any sort of plan, project, goals, or dream. I don't set any expectation on what to get done for the day, I don't accept anymore "things" that may add to my workload (like even defunct electronics or things I might want to tinker with in the future). I've got so much shit going on and daily I find myself in a place where even though I've been non-stop busting my ass for 18hours straight, my situation and "progress" has actually back-stepped because now the dog has pissed on the rug so the house is actually dirtier than it was when it started (just something that set me off the other day as an example).

I'm not making plans with friends or family anymore. If we get a chance to hang then awesome, but I'm not going to agree to holidays or trip ideas because it's just too stressful running up to the date. I could go on but you get the gist. I think we've been super trained to always have those goals and dreams when it's just suffocating my day to day life. I don't even want to think about networking, side projects, or remodeling that needs to be done. I will attempt to become at peace with my day first and let life happen.

This isn't to say I'm not doing anything like sitting around all day. I just do things that are in front of me and that I have time for. There are always priorities like immediate household family and work that I must take care of but the rest of the day will just be me floating like a butterfly around the house doing whatever is needed in that moment (this is the plan, trying to rewire my brain to make this work).