aDHD and focus - it’s getting worse, can’t do my job!

Im sure someone posted a link to a study on this recently but can’t find it. It’s absolutely true.

ADHD symptoms worsen as oestrogen levels drop, which is why many women have see their symptoms worsen during menopause or at certain times of the month (my symptoms are terrible in the few days before my period). Increased levels of progesterone have a similar effect. It's not surprising you've noticed your symptoms are bad at the moment.

Can you explore increasing your Elvanse dosage? I'm on 70mg, the max. dose, and find it gives me good coverage throughout the day, albeit I'm not premenopausal yet. Definitely don't forget to take it! Set a reminder. I forget even when I've set a reminder, so I keep my meds next to my coffee machine - I ALWAYS make myself a coffee in the morning and as they're right there I can't ignore them 😂.

You can also try taking fish oil supplements, which are supposed to help - again, I keep mine next to the coffee machine.

Boosting the amount of exercise you do (to increase dopamine levels) would also help, plus it may have the collateral benefit of reducing your high blood pressure (making the Elvanse less of a risk). I never seem to have the time to exercise, so I bought myself a bike which I use to commute to work. It means I cycle about 25km a day 4-5 days a week and has made me feel so much better. It helps that I bought the shiniest, fanciest bike out there, which satisfies so many of my ADHD urges 😂.

If you do want to set up on your own, could you do so in a partnership with someone who is a good foil to you i.e., they are good at things like filing forms with companies house, while you go out and bring in the business? You must know someone like that if you are senior and established in your role. Failing that, could you find someone junior - a PA type - to keep you on track? I always tell my juniors not to be scared to boss me around and "upward manage" me to make sure stuff gets done and find this works well.

Those are my best suggestions. But I don't think it's an easy fix and I really feel for you. My symptoms have progressively worsened over the years too - a combination of fluctuating hormone levels and increased responsibilities at home (I have two young DC) and at work. Good luck with it all. I hope you do manage to set up on your own. x

Thank you both.

It is SO frustrating! Yes, there is definitely a hormonal link - maybe some more oestrogen would help.

I'll speak to my psychiatrist and see if I can have more elvanse. It's catch 22, if I can focus then I exercise, if I can't then I eat and drink wine. One is good for my BP and the other not so much.

Mostly though, I am annoyed with myself. I have to get it sorted out.

Yes sorry I have now gone through menopause and my executive functions are now worse then ever. But if you get the right support it will help. My cleaner helps me with mine!