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023 | The Unmasking: When Perimenopause Strips Away What Was Holding You Together

If your brain has felt unfamiliar in recent years, this episode is for you.

Dr Kristy Goodwin unpacks the ADHD and perimenopause collision: why so many high-performing women hit their late thirties and forties and find that the strategies that carried them for decades suddenly stop working. Estrogen is one of the brain’s most powerful neuromodulators, and when it starts to fluctuate, it destabilises the very dopamine circuits that govern attention, working memory and emotional regulation.

Drawing on a 2025 population study of more than 5,000 women published in European Psychiatry, plus new…

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