ADHD, Hormones, and the Female Brain: A Conversation with Kara Cruz

This week I’m talking with Kara Cruz, a licensed marriage and family therapist and Certified Perinatal Mental Health Professional with over 15 years of experience supporting women through life transitions. Kara’s work focuses on the intersection of ADHD and reproductive mental health—helping women navigate the complex terrain of hormones, identity, and self-trust.

In our conversation, Kara and I dig into how ADHD symptoms can change and intensify across different hormonal stages - puberty, pregnancy, postpartum, and perimenopause - and what that means for real-life functioning. We also get into how ADHD in women often goes undiagnosed or misdiagnosed as anxiety or bipolar disorder, and how learning to track your cycle, protect your energy, and build realistic routines can make a world of difference in your adhd management.