Spring Into Focus: How Seasonal Changes Affect ADHD and Anxiety

 

Spring has sprung here on the East Coast, and I couldn’t be more happy!  As soon as those clocks spring forward, something in me shifts.  Perhaps it’s knowing that I won’t be in “hibernation mode” much longer, and will have warmer, longer days to be outside in the fresh air and sunlight. Or maybe it’s the sense of renewal and growth that seems more palpable at this time of year – it feels easier to access the motivation and energy that seemed lacking over the long Winter months.  But when you are neurodivergent or have ADHD, this sense of seasonal optimism can also come with a side of seasonal disruption – to your mood, schedule, energy level, or appetite.  There is a scientific connection between shifting seasons and ADHD symptoms, which can make it even more difficult to maintain focus and keep steady with routines.  In this weeks blog, I’ll offer helpful strategies to survive the seasonal shift when you are neurodivergent or have ADHD. 

 

ADHD & SEASONAL CHANGES 

If you have ADHD, you’re probably no stranger to the ebb and flow of symptoms. Sometimes it feels like your attention span has a mind of its own – and unfortunately, that mind can be easily distracted. ADHD symptoms can fluctuate with the seasons, and spring brings some unique challenges.  What is it about Spring and seasonal change that triggers this dysregulation? Let’s unpack the “why”, below:

Sleep Disruptions: As the days get longer, many people notice their sleep patterns changing. For those with ADHD, this can be even more pronounced. The increased daylight might mess with your circadian rhythm (the body’s internal clock), leading to difficulties falling asleep or staying asleep. According to a study published in JAMA Psychiatry, sleep disturbances are more common in individuals with ADHD, and these disruptions can worsen symptoms, making it even harder to focus during the day.

Energy Fluctuations: Spring can bring a burst of productive energy to some people, but for others, it can feel like unproductive, chaotic energy – the kind that’s difficult to harness. For individuals with ADHD, high energy levels can result in impulsivity, restlessness, or an inability to concentrate on tasks. On the flip side, the fluctuating energy levels in the spring may also leave you feeling drained on days when pollen counts are high or the weather is erratic.

Mood Changes: Seasonal changes can also affect your mood. As the weather warms up, people with ADHD might feel an increased sense of restlessness or irritability. Anxiety levels can rise, too, especially if you’re struggling with sleep disruptions or a lack of focus. In fact, research from the National Institute of Mental Health shows that anxiety disorders are often exacerbated by changes in routine, including seasonal shifts. The unpredictable nature of spring weather can heighten feelings of unease or uncertainty, making it even harder to stay grounded.

ANXIETY & THE SEASONAL SHIFT

Spring is also a time when people with anxiety may feel a heightened sense of unease. Just like with ADHD, changing routines and disruptions in sleep patterns can create a perfect storm for anxiety to thrive. Longer daylight hours may disrupt sleep cycles, and warmer temperatures can stir up social anxieties as people begin to spend more time outdoors or attend gatherings. If you’ve ever felt your heart race at the thought of a crowded spring festival or outdoor event, you’re not alone.

SPRING INTO FOCUS: STRATEGIES FOR COPING 

Okay, now that we’ve painted the picture of the seasonal chaos, let’s talk about some ways to manage it all. After all, if spring is going to throw us curveballs, then we might as well have a bat!

  1. Adjust Your Sleep Routine: As daylight savings kicks in, it can be tricky to fall asleep on time. Try implementing a consistent bedtime routine – even on weekends – to help reset your circadian rhythm. And if you’re struggling with sleep, limit exposure to screens an hour before bed, and try using blackout curtains to keep the room dark in the early mornings. 

Here are some good pre-sleep techniques  to help engage your parasympathetic nervous system (the “rest and digest” system), which is your body’s natural way of saying, “Okay, chill. We’re done for the day.”

  • Deep breathing exercises: Inhale for 4 seconds, hold for 4 seconds, exhale for 4 seconds, pause. Repeat three times. 
  •  Guided meditation: Apps like Insight Timer, Headspace or Calm can guide you through short meditation sessions designed to relax your mind and body, though some are paid subscriptions. A quick google using the term “guided meditations for sleep” gives great (free) results to start from. Playing these before bed can also help you wind down. 
  • Progressive muscle relaxation: Start by tensing and then relaxing each muscle group, starting from your toes and working up to your head. Hold your breath for the muscle tension and exhale on  the relaxation.

 

2. Get it done with GRIT: Those with ADHD find it especially difficult to get started and follow through on boring, unpleasant tasks – Spring is the perfect time to knock these out and get them done!  My GRIT method  is a process by which you get yourself ready to do a task or a work project, stay with it, apply consistent effort and finish a part or all of it.

To build motivation when you have ADHD, it is important to identify what you want to accomplish and why, and set goals accordingly. Then, once you’ve identified your goals, create realistic expectations of your capability, available resources and time constraints. Make a plan for when, where and how you’ll get things done. Try breaking large tasks down into smaller, more manageable pieces.

Then, use GRIT to make those everyday tasks less overwhelming: 

G- Get Situated. Think about your tasks, do a brain dump and assign numbers to the first 3 items. Then, write where and when you want to do them. Break your first and second items down into smaller chunks. Finish these first two items before moving on to the next one.

R-Resist Distraction. Set reminders. Ask yourself, “How long can I do something before I get bored?” If it’s 20 minutes, do your tasks in 20 minutes. Write yourself a note marking where you left off. Go on your break, set the time, go back to what you were doing.

I- Implement incentives that matter. Start with small steps and identify achievable goals. Put the “have-to” before the “want-to,” and use incentives. Watch your TV show after you do the dinner dishes. 

T-Take small steps & positively talk yourself through the task. Try a “high and a low,” or a “happy and a crappy” exercise at dinner to highlight the day’s wins. Consider writing down three good things or accomplishments each night before bed.

 

3. Get Outside: While spring beckons us outdoors, it’s important to listen to your own needs. If you’re feeling socially anxious or overwhelmed by too much stimulation, take a walk by yourself or spend time in a quieter outdoor space. Nature has been shown to have a calming effect, especially for those with anxiety, so try to embrace it in a way that supports your own wellness.

 

4. Exercise to Balance Your Energy: With ADHD, energy can feel like it’s running in all directions. Channel it into physical activity! Regular exercise can help stabilize mood and increase focus. Plus, it can work wonders for anxiety by releasing those feel-good endorphins. Whether it’s a brisk walk, a bike ride, or an online yoga class, moving your body can help ground you.

 

5. Use a Mood Tracker: If you notice your mood fluctuating with the changing seasons, try tracking it with an app or journal. Identifying patterns in your emotions can help you anticipate when you might feel more anxious or distracted, and allow you to plan accordingly. Awareness is half the battle!

 

The seasonal shift into spring is a time of change, but with that change comes an opportunity to refocus and rebalance. By adjusting our routines, embracing the outdoors (in our own way), and prioritizing sleep, we can turn the chaos of spring into a chance for growth. Just remember – be patient with yourself. ADHD and anxiety don’t go away just because the weather’s nice, but with a few tweaks, you can spring into focus and feel more grounded than ever.

Understanding How ADHD and Anxiety Affect Women’s Motivation: Tips for Managing Mental Load and Achieving Success

Hi Dr. Sharon!!

I’m a mom of three kids in my late 40’s. I’ve recently been diagnosed with ADHD and anxiety which was SUCH a relief in connecting all my dots. I really struggle with how people perceive me, especially at work and at home. For example, at work, I’m constantly getting behind on projects. I’ll start one task, get sidetracked by something else, and then realize hours have passed with no progress, My boss thinks I’m “lazy” but I live in panic mode trying to catch up. This happens at home too. My partner gets frustrated because I forget to pick up the groceries or miss appointments, even though I write them down. I’m constantly overwhelmed and I don’t know how to explain it to everyone. Do you have any advice on how I can manage my symptoms better and help others understand what I’m going through?

Jessica, New Hampshire

Dear Jessica – 

I’ve had the privilege of working with many women over the years. One thing I’ve consistently noticed is that women, particularly mothers, carry a significant mental load. This “mental load” refers to the cognitive and emotional work required to manage a household, take care of children, handle social obligations, hold down a job and juggle personal responsibilities—all while trying to maintain a sense of balance. The executive functioning challenges that come with ADHD, in conjunction with hormonal influences, can make this all seem impossible to manage. So, Jessica, you are not alone. Working with women from all walks of life as they explore the impact of an ADHD or Anxiety diagnosis later in life, I’ve developed some strategies and solutions that might be especially helpful to you. 

 

The Mental Load: What Is It?

I reject the term “laziness” for people with ADHD. The ADHD brain has no trouble with motivation and sustained attention for interesting activities. But it struggles fundamentally with being starting, persisting and completing tasks that are inherently unrewarding or overwhelming. This consistent inconsistency is confusing to kids and adults with ADHD and to the people in their lives too. But instead of exploring this issue and the very real mental load that occurs for neurodivergent folks, people use the word “lazy”. 

The mental load often goes unnoticed and unacknowledged by others because it’s invisible. It’s the constant running tally of things to complete, the mental “to-do” list that loops around in the background of your mind. It’s organizing school schedules, meal planning, making sure the bills are paid, and keeping track of everyone’s appointments. It’s also meeting deadlines at work, showing up for meetings on time and being a dedicated team player. The emotional and psychological labor of these combined never-ending task lists can create significant burnout – especially when the person with ADHD has co-occurring anxiety. 

Research shows that women, especially mothers, tend to shoulder more of this mental load than men, even when they both work full-time jobs. According to a 2020 study by the Institute for Women’s Policy Research, mothers in dual-income households spend an average of 1.3 hours more per day on household chores than fathers. While that may not sound like much, over time, those hours add up, often creating emotional and cognitive exhaustion.

ADHD: An Extra Layer of Overwhelm

For women with ADHD, struggles with sustained attention, working memory and organization increases the burdens related to these mental loads. Other executive functioning challenges that accompany living with ADHD–such as planning, time management, shifting and emotional regulation–complicate the picture. The very skills that you need to manage all of these competing responsibilities are the ones that are taxed by being neurodivergent. 

When you have ADHD, your brain tends to avoid tasks that feel overwhelming, leading to procrastination and difficulty completing things. You might start a project, only to leave it unfinished while your mind races onto the next thing to do. On top of that, natural difficulties with emotional regulation may result in regrettable outbursts or intense bouts of worry, sadness or anger. 

Constantly sensing that you are behind or not meeting expectations not only increases stress but also produces burnout and mental health issues. A 2021 study published in the Journal of Attention Disorders found that women with ADHD experience higher rates of anxiety and depression compared to their male counterparts. Many feel overwhelmed by the expectations placed on them—whether by society, family, or themselves. They also report feelings of guilt and shame about their challenges. The combination of external pressure and internal challenges can leave them feeling like they’re failing—often without recognizing that ADHD is a contributing factor.

 

 

Practical Strategies for Managing the Mental Load 

As a mother with ADHD, it’s important to acknowledge that the mental load you’re carrying is real. It’s not just about “doing more” or “trying harder”. It’s also about understanding how ADHD and neurodivergence affects your brain and implementing strategies that work with it, not against it.

Here are a few practical tips to help reduce the mental load and prevent burnout:

1. Break Tasks into Smaller Steps

When faced with a large project, it can feel overwhelming to even get started. Breaking tasks down into smaller, more manageable steps makes them feel less daunting. For example, instead of thinking about “organizing the entire house,” start by focusing on one room or even one corner of a room.

Research has shown that breaking tasks into smaller pieces can significantly improve task initiation and completion for people with ADHD.  Here, the  Princeton University Research and Teaching Lab shares  that chunking tasks into smaller parts increases motivation and reduces procrastination.

2. Use Visual Reminders and Tools

Keeping track of multiple responsibilities is hard, especially with ADHD. Using visual reminders like planners, sticky notes, or digital tools like apps can help. For example, creating a family calendar in Google Calendar or using a task management app like Todoist, Microsoft To Do, Habitua orTrello can help you stay organized without the mental strain of remembering everything yourself.

Incorporating visual prompts has been shown to improve executive functioning in individuals with ADHD, particularly when tasks are broken down visually (such as seeing a checklist of to-dos).

3. Increase collaboration and cooperation

Living in a household means sharing chores.Family chore time can improve cooperation especially if there is a desired incentive like watching a show or playing a game together afterwards.  If you have a partner, it’s essential to communicate openly about the distribution of responsibilities. Research from the American Sociological Review indicates that more equitable division of labor at home leads to reduced stress and burnout for mothers.

If you’re struggling with organizing or maintaining routines, it might also be helpful to consider finding external support, such as a therapist or coach to improve how collaboration in your family or relationship. If you have the means, outsourcing tasks that you find particularly overwhelming such as hiring help for cleaning or ordering from a meal preparation service can provide much-needed relief.

4. Practice Self-Compassion and Set Realistic Expectations

Mothers with ADHD are often their own harshest critics. It’s important to practice self-compassion and adjust your expectations. Recognize that you can’t do everything, and that’s okay. Setting realistic goals for yourself can reduce the feeling of failure when you don’t meet impossible standards.

Incorporating mindfulness techniques and self-compassion practices reduce anxiety and shame. They also improve emotional regulation, which helps with managing ADHD symptoms and the emotional toll of motherhood.

5. Create Structure and Routine

Having a predictable structure can significantly reduce the cognitive load on your brain. Routines help minimize the number of decisions you need to make daily and teach your kids key executive functioning skills simultaneously. This frees up mental energy for other tasks. For example, meal prepping on Sundays or having a designated “clean-up sweeps” at night where people pick up their things  contributes to a sense of order and predictability.

 

You Don’t Have to Do It All Alone

Jessica, being a mother is hard enough, but when you add ADHD into the mix, the mental load can feel overwhelming. You seem to be anything but ‘lazy”. It’s crucial to acknowledge how ADHD affects your ability to manage tasks and to recognize that it’s not a reflection of your abilities as a mother. By implementing practical strategies like breaking tasks down, using reminders, delegating, and practicing self-compassion, you can begin to lighten the load and prioritize your own well-being.

Remember: You don’t have to carry this burden alone, and with the right tools and support, it’s possible to regain a sense of balance and control.

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Living Longer with ADHD: A Women’s Guide to Health, Focus & Longevity

Gain an understanding of how ADHD can impact women’s health, the factors that contribute to a shorter life expectancy, and—most importantly—how you can create a Personal Wellness Plan to address these concerns.

Please click HERE  to receive your free Downloadable, “Living Longer with ADHD: A Women’s Guide to Health, Focus & Longevity“.

Living Longer with ADHD: A Women’s Guide to Health, Focus & Longevity

Recently, a study on ADHD and life expectancy caught my attention, and it’s one that really made me stop and think. Researchers Elizabeth Nions and her colleagues at Cambridge University examined how symptoms of ADHD impact the life expectancy of adults in the United Kingdom. The results were alarming: women with ADHD had a life expectancy reduced by over 8.64 years, while men experienced a reduction of 6.78 years. These findings raise a lot of important questions about the long-term effects of ADHD, especially about how ADHD manifests differently in men and women and how those differences influence health outcomes.

The researchers attributed these reductions in life expectancy to a combination of factors, including ADHD-related risk factors and unmet needs for treatment and support. But what exactly are these factors, and why does ADHD appear to have a more significant impact on the lives of women compared to men? More importantly, what can women with ADHD do to improve their health and longevity, despite these challenges?

In honor of Women’s History Month, I’m going to guide you through understanding how ADHD can impact women’s health, the factors that contribute to a shorter life expectancy, and—most importantly—how you can create a Personal Wellness Plan to address these concerns. This plan will help reduce physical, emotional, and psychological stress while offering you practical strategies to manage your symptoms and live a healthier, more fulfilling life.

Cultural Expectations

In the decades following the second wave of feminism, outdated gender roles and societal norms still expect for women to bear most of the weight for their households. Although it’s been 30 years since the publication of “The Second Shift” by Arlie Hotschild, the experience of women in dual-career households remains largely unchanged. In single parent households, a lack of partnership means that full responsibility for childcare and income can prevent women from educational, work and social opportunities. For women of color, equal access to care and racism further complicate their lives. These issues contribute to barriers with diagnosis and treatment related to ADHD (resource allocation, scheduling, healthcare/insurance, etc.). 

The stress and difficulties associated with the many roles that women with ADHD are expected to play can be overwhelming and, according to the study results above, even life-threatening. These difficulties can lead to poor lifestyle habits, such as neglecting exercise, poor eating habits, and inadequate sleep. With executive functioning challenges related to planning and prioritizing, women with ADHD may face more significant barriers to accessing proper treatment and support, further exacerbating their health risks.  

 

The Gender Gap: Why Does ADHD Affect Women More Severely?

First, it’s crucial to understand why women with ADHD are at greater risk of reduced life expectancy than men. Historically, ADHD was considered to be a disorder that primarily affected boys, and women’s ADHD symptoms were often overlooked or misdiagnosed. Women may not exhibit the hyperactive symptoms that are typically associated with ADHD in men. Instead, they may experience more internalized symptoms, such as inattentiveness, forgetfulness, and difficulty focusing—symptoms that are sometimes dismissed as “just being disorganized” or “not trying hard enough.”

As a result, many women with ADHD go undiagnosed until later in life, by which time they’ve already experienced the negative consequences of untreated ADHD, such as chronic stress, anxiety, depression, and relationship issues. In fact, research has shown that women with ADHD are more likely to experience co-occurring mental health conditions like depression and anxiety, which can further affect their overall health and well-being.

Your Five Step Personal Wellness Plan

Now that we’ve explored why women with ADHD may experience a reduction in life expectancy, let’s shift focus to how you can take charge of your health and well-being. A Personal Wellness Plan is a customized approach to improving your physical, emotional, and psychological health. By incorporating a variety of strategies, you can minimize the impact of ADHD on your life and increase your chances of living a longer, healthier life.

Here are some essential components of a Personal Wellness Plan that can help you live longer and healthier with ADHD:

  1. Get informed about ADHD and co-occurring conditions: Knowledge about ADHD and its common co-occurring conditions (what I often call “friends”) is empowering. Research about ADHD and neurodivergence gives you facts and statistics that you can use to your advantage  –  and these are not found on TikTok. Reliable information found on websites such as CHADD, ADDA, ADDitudemag, Psychology Today, NIMH/CDC etc., and from ADHD expert coaches and therapists also reduces feelings of isolation (“this only happens to me”) and validates your experiences. Plus, verified research informs you about what works and what doesn’t work – with the goal in mind of a higher quality of life, more vitality, and efficiency.
  2.  Zoom out and assess your situation:  Look around at your environment and also at yourself – ask: “What’s happening inside of me, or external to me, that could be contributing to some of the challenges that I’m having?”. Be honest about whether you are experiencing symptoms of anxiety, depression, PTSD, etc. Maybe you notice your moods are cycling. Maybe you have a history of trauma and you’re having recurring nightmares. Maybe you’re having panic attacks before team meetings at work. How are you managing these symptoms? Are you using food, cigarettes, alcohol, marijuana, or the internet to self-medicate or avoid uncomfortable feelings? Improving your understanding of what’s actually going on will affect your choices for interventions, and help build coping skills that are more easily learned and applied to your everyday life. 
  3. Ask for help and find support: People do not have to struggle alone. It’s important to ask for help. Often we need an outsider to look at our situation and offer suggestions, interventions and ideas. I think that people often wait too long to get assistance, thinking that “If I just slog through this, the rest will get easier”. Effective support is both collaborative and compassionate–you work with a provider or coach towards goals that you mutually set. These goals need to address chronic stress, financial issues, unhealthy coping behaviors and personal relationships. Together you build up your resources (medical, psychological, cognitive, community, religious) and your coping mechanisms by learning new skills or leaning into existing ones. 
  4. Create simple self-care routines:  Self-care entails more than a bubble bath. Self-care habits reduce overwhelm and stress and are most effective when part of a routine. Your goal here is to decrease the ‘too-muchness’ of your life, moment by moment. Start by brainstorming activities that you enjoy and that increase your calm. Then, schedule a time in the day when you can do one of them – keep it simple by aiming for just one thing to increase the probability of success over time. Listening to a favorite playlist, doing five minutes of stretching, taking a brisk walk around the block, five minutes with a pet – things that are small, simple, and rewarding.  By creating and sticking to these small routines, you’ll be better able to tackle  bigger things like eating, sleeping, personal hygiene, cleaning, laundry, and even spending time with friends. All of these will reduce the sense of “drowning” and keep stress at bay.
  5. Whole Person Approach: Accept your brain by taking  a whole-person perspective.  Create space from who you are while acknowledging your neurodivergence. You are not your diagnosis. A diagnosis is something that is part of a narrative, not the whole story.  In education, teachers are trained to use “person first” language – not “Autistic child” or “ADHD girl”but rather”a child with Autism” or “a girl with ADHD”. This is a small but mighty distinction that is also relevant to a whole person approach for adults. This shift in language and perspective acknowledges that having ADHD reflects something in you, but it is not you. The  sum of your being is so much more than that. Yes, having ADHD affects your executive functioning skills in terms of organization, prioritizing, emotional regulation, and working memory but it doesn’t lessen your value as a person. Those internal judgments from your  inner critic can be debilitating emotionally, psychologically, and harmful to your well-being.

 

Living Well with ADHD

Living with ADHD can present unique challenges, but with the right tools and strategies, you can lead a fulfilling, healthy life. By prioritizing your establishing simple routines, becoming educated about ADHD and its “friends”, reframing your approach, and finding supportive communities, you can enhance your focus, reduce stress, and improve your longevity. 

Remember, you are not alone on this journey. Support is available, and there are effective treatments that can help. By implementing a Personal Wellness Plan tailored to your needs, you can take control of your health and improve your chances of living a longer, healthier life.

Dear Doctor Sharon: How Can I Empower My Teen with ADHD During 504/IEP Meetings?

How to Talk to Your Teen About ADHD: A Guide for Parents on Explaining, Empowering, and Navigating 504/IEP Meetings

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Dear Dr. Sharon – 

My 15 year old attended her first school 504 meeting as the High School likes to have them in attendance. I’ve never told her ‘she has ADHD’ directly and am wondering if you have suggestions on how to tell and explain what she has and how it impacts her in life. I want it to be informative, age appropriate and positive. What do you think about having high school students attend their 504 or IEP meetings?  – Oscar, Indiana 

 

Dear Oscar,

First off, let me say that it’s wonderful that you’re seeking to support your 15-year-old in understanding her ADHD. In my experience as a parent, advocate, and psychologist, I can tell you that opening the conversation about ADHD with your teen is one of the most important steps you can take to help her not only understand herself better,  but also to empower her as she navigates school and life. It’s a delicate conversation, and it’s normal to feel unsure about how to approach it. You’re definitely not alone in this, and I’m here to help guide you.

Before we dive in, let’s start with your question about 504 meetings.  If this is your first one, or for a deeper dive on the subject, my earlier blog post this year is

a great guide!  As we are approaching the midpoint of the school year, these meeting invitations will start coming at you fast and furious!  Now is a perfect time of year to pause, assess, and reset before planning and participating in this annual process.

 The idea of having high school students attend their own 504 or IEP meetings can seem intimidating, but research has shown that it can be incredibly beneficial for students. In fact, students who participate in their own meetings are better at advocating for themselves and understanding the accommodations that will help them succeed. This can be especially true for teens with ADHD, who may face unique challenges when it comes to time management, focus, and organization.

But before your teen attends that meeting, you’ll want to have an honest conversation with her about what ADHD is and how it impacts her life. So, let’s break down how you can approach this.

 

STEP 1: How to Explain ADHD to your Teen

The first thing to keep in mind is that ADHD is a neurodevelopmental condition. This means that it’s something your teen is born with, not something she “catches” or can control through willpower alone. I always recommend explaining ADHD in terms that your teen can relate to — maybe even with a little humor. For example, you could say:

“Imagine your brain is like a TV, and ADHD is like having too many channels on at once. Sometimes it’s hard to focus on just one thing because your mind’s flipping between all these different channels. It’s not that you’re not trying, but it’s just harder to concentrate.”

This metaphor can help normalize the experience of ADHD. Teens, especially, often feel like something is “wrong” with them when they struggle in school or with staying organized. Framing ADHD in a way that feels less like a “deficit” and more like a unique wiring of the brain is key to maintaining their self-esteem.

Another important point is to emphasize that ADHD isn’t all bad! There are plenty of strengths associated with ADHD, such as creativity, hyperfocus (when she can really get into something she loves), and being able to think outside the box. By acknowledging both the challenges and the strengths, you create a more balanced and empowering conversation.

 

STEP 2: Why It’s Important for Teens to Attend Their Own 504/IEP Meetings

Now, let’s talk about the 504 meeting itself. The idea of having a high school student attend her own meeting may feel like throwing her into the deep end, but it can actually be incredibly empowering for her. By participating in these meetings, teens learn to advocate for themselves, understand the accommodations that can make a difference, and gain a sense of ownership over their education.

One of the key benefits of involving students in these meetings is that it gives them a voice in how their accommodations are set up. According to the U.S. Department of Education, students who are included in the decision-making process are more likely to feel engaged in their education and motivated to follow through on their accommodations.

Plus, let’s be honest — as a parent, you probably don’t want to be the one explaining everything forever…and your daughter doesn’t want to always be on the receiving end of your explanations. Giving your teen the chance to attend these meetings also takes some of the burden off you in the future. It teaches her to speak up, ask for help when needed, and communicate her needs effectively. These skills will serve her well beyond high school, in her personal or professional pursuits.

 

STEP 3: The Role of Parents in the Process

Of course, as a parent, you still play a huge role in this process. The goal isn’t to drop your teen into the meeting without preparation, but to gradually help her become an active participant in her learning process. To make this transition smoother, here are a few tips:

  1. Prepare Together: Before the meeting, sit down with your teen and go over what will be discussed. Help her understand the types of accommodations that might be available (extra time on tests, breaking assignments into smaller tasks, etc.) and why these can help her succeed. This also gives your teen the opportunity to voice any concerns or preferences.
  2. Encourage Open Communication: Remind your teen that this meeting is about her education and well-being. Encourage her to ask questions or share anything she feels would help her learn more effectively. It’s okay if she’s nervous — this is a learning process.
  3. Be Supportive, Not Overbearing: Give your teen space to speak for herself, but be there to support her. If she gets stuck or needs help clarifying something, step in gently. This will teach her that she’s not alone in the process, but also that she’s in control.
  4. Focus on the Positive: Remind your teen that ADHD doesn’t mean she isn’t capable or intelligent. It just means she may need to do things a little differently than others. Reinforce her strengths and let her know that this meeting is about making sure she has everything she needs to succeed.

 

MY FINAL THOUGHTS

Talking to your teen about ADHD and involving her in her 504 or IEP meetings is a huge step toward empowering her to take control of her education. The more you encourage her to engage with the process and advocate for her needs, the better equipped she’ll be to navigate the challenges that come with ADHD.

Remember, ADHD doesn’t define who she is. It’s just one part of the whole person she is becoming. With your support, your teen can turn what may seem like a struggle into an opportunity for growth and self-discovery.

Remember…

  1. Be patient. Understanding ADHD takes time. Your teen may not fully grasp everything at once, but continued conversations will help.
  2. Stay positive and open. Your attitude toward ADHD will set the tone for how your teen views it.
  3. Let your teen lead. The more she takes ownership of her learning and self-advocacy, the more confident she will become.

Best of luck to you both — and know that you’re doing an incredible job!

Managing Emotional Dysregulation: A Toolkit for ADHD & Neurodivergence

 

Let’s talk about emotions—those unpredictable, rollercoaster moments that swing from “I’m doing great!” to “This is the worst day of my life” faster than you can say “emotional dysregulation. If you or someone you know is living with ADHD or neurodivergence, managing emotions can feel like juggling while riding a unicycle on a tightrope. It’s *doable,* but it often requires strategy, balance, and some professional guidance.

 

 What is Emotional Dysregulation?

Before we dive into tools, let’s break down what emotional dysregulation actually means. Simply put, emotional dysregulation refers to difficulty in managing or responding to intense feelings in a way that is proportionate to the situation that triggered them. For many children, adolescents and adults individuals with ADHD, this can mean extreme reactions to stress, frustration, or even minor inconveniences. This isn’t a flaw or weakness: it’s just the ADHD brain just processes emotional information differently. 

Research shows that about 60-70% of individuals with ADHD struggle with emotional dysregulation, whether it’s feeling overwhelmed by small setbacks or experiencing strong moods. This dysregulation leads someone to feel disconnected to themselves, their current situation and any people nearby. It may be related to family, socioeconomic, educational or racial adversity/trauma or differences in brain structures and processes. For many folks, the amygdala hijack happens so quickly that they aren’t fully aware that it’s occurring until afterwards. This is frightening for you and the people around you. It can negatively impact your relationships, work or school performance, and general life satisfaction.

 

Your Toolkit for Managing Strong Emotions

To begin the process of responding instead of reacting,  you’ll need to identify what triggers you, how something bothers and what you can do to  avoid intense  outbursts. You’ll feel calmer (and better about yourself too) when you can reliably use practical, simple exercises to restore emotional and physiological balance in the heat of “those” moments.  In today’s blog, we’ll explore a set of strategies designed to help people who struggle with big feelings manage them more effectively in real time. Sadly, there are no magic wands here—just practical, research-backed methods that  support your well-being and help you handle whatever life throws your way.

WHATS IN THE TOOLKIT?

  • Grounding exercises
  • ADHD strategies
  • Emotional balance
  • Coping tools

 

  1. Grounding Exercises: Your Emotional Anchor

When you feel untethered by strong emotions, grounding exercises assist you in reconnecting to the present and slowing things down. Think of grounding as your emotional anchor when the storm of big feelings hits. Grounding brings you back to what’s happening around you and to the quiet place within you.

These steps all bring immediate relief by shifting your focus away from emotional chaos to the sensory details and physical balance in your environment. They also soothe disequilibrium.

Popular Grounding Techniques Include:

5-4-3-2-1 Exercise – This one is perfect when anxiety or frustration feels like it’s taking over.  Pause for a moment to notice and name the following:

  • 5 things you can see (look around the room)
  • 4 things you can touch
  • 3 things you can hear
  • 2 things you can smell
  • 1 thing you can taste (a mint, a sip of water—whatever works)

Go shoeless: Take off your shoes and your socks. Feel your feet on the ground. Balance on one foot and then the other. Do this five times.

Swing your torso: Stand with your feet shoulder width apart. Swing your arms in unison from one side to the other, twisting your body as you do this. Do this five times

 

  1. Breathing Exercises.  It sounds simple and perhaps overused, but mindful breathing really works because it slows you down. I’ve created the triangle method of breathing to help my clients with ADHD when they find themselves becoming dysregulated.
  •  Inhale for 4 seconds
  •  Hold the breath for 4 seconds
  • Exhale slowly for 6 seconds
  • Pause at empty

Research shows that diaphragmatic breathing like this activates the parasympathetic nervous system, which helps calm the body and reduce emotional reactivity.

 

  1. Physical Exercises: Muscle through with Movement. 

Movement can really help some people physically ground themselves and break the cycle of emotional dysregulation. Whether it’s standing up and sitting back down for a set of 5, stretching in your chair, taking a walk or clenching and releasing your fists or other parts of your body, by engaging your body, you bring your focus back to the present.  This engages your body and brings focus back to the present.

The magic in these techniques lies in their repetition and self-compassion. We aren’t aiming for perfection here. You will not transform suddenly into the ideal easygoing avatar you desire. But, When practiced regularly, grounding exercises train the brain to shift from knee-jerk reactions laden with emotional intensity to more balanced, thoughtful responses.

 

 

  1. Install Emotional Pause Buttons: Use my STAR approach 

Impulsive emotional reactions can often be the result of not pausing before responding. But taking that pause is oh-so-hard when emotions run hot. Use my STAR-“STOP, THINK, ACT, RECOVER” method when somebody (including yourself) is getting triggered. First, discuss in advance the physical signs of upset–tightness in chest, a headache, loud voices, tears. Then decide what your plan will be when they show up and how you will take that PAUSE. Using the STAR method can be a game-changer for you and your family. 

 

  1. Call A Lifeline: Use Your Support Network

Having a reliable support system makes ALL the difference. You don’t have to handle everything by yourself and, sometimes, we all need a lifeline to call. I have reached out many times to close friends or family members in times of distress or dysregulation. Take a minute now and write down the names of at least two people you can contact when the going gets tough. For many people with ADHD, there’s so much shame about being dysregulated in the first place that it can be tough to ask for help. Remember, everybody, and I mean EVERYBODY, loses it sometimes. 

For parents and adults with ADHD, connecting with a therapist or a coach (here I am!!)  can offer ongoing support, insight and understanding about the causes and responses to intense feelings and disruption. In fact, one study found that cognitive-behavioral therapy (CBT) tailored for ADHD is especially effective in helping manage emotional dysregulation. The road to emotional balance is paved with self-compassion. It’s about acknowledging that emotions will come and go, but with the right tools, we can navigate them with more confidence and less chaos.

  

There is no magic spell to reduce emotional dysregulation. The ‘charms’ in these techniques lie in their repetition and self-compassion. We aren’t aiming for perfection here but rather steadiness in practicing them. You will not transform suddenly into the ideal easygoing avatar you desire. But, when practiced regularly, these tools  train the brain to shift from knee-jerk reactions laden with emotional intensity to more balanced, thoughtful responses.

Dear Dr. Sharon: How can I help my child with ADHD manage bullying?

Ask Dr. Sharon Saline blog image

Dear Dr. Sharon – 

My son is 13. He has ADHD along with depression and anxiety. He’s sensitive and hard on himself when he makes a mistake, often saying he’s “stupid.” We encourage him and speak positively to him at home. At school, he experiences a lot of bullying which I feel has caused much of his issues. Other kids call him terrible names and he often has meltdowns because of the teasing and rejection which make things worse. He has an IEP in school and receives behavior support both at home and school. He did soccer for six years but it was frequently a struggle for all of us (like many social experiences). How can we help him manage bullying and succeed more socially?

– Janine, Pennsylvania 

 

Dear Janine,

Your son is a lucky boy. The many ways that you express your love for him and support him  are impressive. You are truly a dedicated parent. I commend you for identifying the supports and services that are already in place for your son to foster success and for being open to try new things as well.

From navigating educational, medical and mental health systems to managing meltdowns, to providing sensitivity and support – parenting a child with ADHD who has unique emotional and behavioral needs is no small feat.  Dealing with bullying can be so discouraging on top of living with neurodivergence. Now that your son is entering his teen years, building resilience, fostering self-confidence, and giving him tools to handle bullying will be essential.

 

So let’s dive into some strategies that can help him not only survive these challenges but to thrive. 

 

THINK OUTSIDE THE BOX

You’ve shared that he’s played soccer for 6 years, and that it was difficult for him because of social pressures that can exist in team sports.  Now is a great time to think outside the box! Encouraging his interest and participation in a wider range of activities that are more ADHD-friendly can be an important factor in building resilience and increasing self-esteem. I know that this might feel counterintuitive when all the other kids are signing up for football or soccer, but what other hobbies, activities, or sports are available in your town or community? Participating in what I call “individualized team sports” such as swimming, tennis or track can show kids with ADHD that they are part of a greater whole but still get the satisfaction of performing tasks on their own.

 

What interests him? Building on something that he already likes to do or might be willing to try is the way to go. Perhaps improvisational theater, music lessons, fencing, swimming, robotics or coding, art or rock climbing?  Exploring new hobbies and engaging in them in a variety of formats shows your son that participating in a group activity doesn’t have to come at the expense of his self-esteem and that he can feel successful too. As he develops new skills, he’ll feel prouder of himself. This boost will strengthen his ability to deal with bullying too. He will also find a common ground to connect with like-minded peers who can be potential allies. 

 

 

RESILIENCE: NOT JUST A BUZZWORD

Resilience means being able to bounce back from difficult situations or interactions because you have confidence in yourself and your abilities. You believe that you have what it takes to  navigate challenges. To foster resilience, continue to highlight his strengths and notice the things he does well–big or small. When he cooperates with chores around the house or keeps trying with a tough task, celebrate those moments with acknowledgment and validation. Nurture possible friendships by arranging low-pressure social activities like family get-togethers or game nights. 

Research shows that having just a few good friends can significantly boost self-esteem, especially in the face of bullying. In fact, one study  found that kids with strong social support have better mental health outcomes, even when facing peer-related challenges. Most kids need at least three friends: one they can hang out with on some days, another to see when the first one is busy and a third to call when the first two aren’t available. By knowing he has a few friends to lean on, he will be able to better manage delicate social situations and rebound more easily with peer difficulties. 

 

 

BULLYING NEEDS A RESPONSE 

Certain bullying situations call for parental responses. Does the school know what is happening? If not, please inform them. If yes, what are they doing about it? If he’s being bullied verbally, excluded or is at risk of physical harm, the school needs to get involved and intervene. They are supposed to be his ally and protect his safety too. He needs an action plan for what to do when other kids are mean to him or when things get physical. 

It also makes sense for you to work with him to craft a few handy responses to use in those tough moments. How can he respond when someone calls him “stupid” or says something unkind? Together, create two phrases that could be his “secret weapons” in these situations. In addition to ignoring taunting, perhaps he can say something like, “It’s okay if we don’t agree on this” or “Everybody can have their own opinion.” Practice these at home in role-plays so you can see what the kids are saying and he can build confidence. According to research, role-playing has been shown to significantly improve children’s responses to bullying situations.

Who does he know who might be his ally? Most bullying happens when somebody is alone and bystanders empower the aggressor. Talk with him about the power of being an “upstander”. If he sees someone else being picked on, what could he do to stand up for them? Supporting another child will not only improve his own confidence, but it can also make him feel more empowered when he faces difficult social situations himself.

 

 

Healthy self-esteem and resilience are two great defenses against bullying.

When your son feels good about himself, understands his strengths and pursues his interests, he’s better poised for responding effectively to aggressors. While we may not be able to prevent bullying, understanding why it happens and feeling prepared to respond appropriately will go a long way in helping your son navigate tumultuous teenage years.  

As a parent, continue to stay as compassionate and steady as you are. Your connection with him strengthens the internal resources he needs to weather any painful social dynamics in middle school and beyond. Your love, support and encouragement will increase his self-worth and help him defend against the cruelties of taunting and bullying.

 

Small Acts, Big Impact: How Microgiving Helps You Thrive with ADHD in 2025

 

As we enter 2025, many people are focused on setting New Year’s resolutions with goals about what they would like to change and improve about themselves. But when you live with ADHD, you already receive plenty of feedback about what you could do differently or better. All too often, you set goals for yourself that are unreachable or tedious and then you feel bad about not following through with them. This process defeats the positive change and different attitude you are looking for in the new year. Instead, I’d like to offer you another choice.

 

THE WARM GLOW EFFECT

When you’re navigating life with ADHD, it can feel like the days are packed with challenges: forgetfulness, overwhelm, difficulty focusing, and emotional ups and downs. All too often, there’s more stress than calm and more frustration than relaxation. How can you lower stress, increase happiness and improve your overall well-being? The answer may surprise you.

Research has found that helping others reduces stress and improves longevity while also producing what’s known as the warm glow effect. This effect occurs when you give of yourself in a way that improves  conditions of the larger world, without expecting anything in return. It’s like altruism but less specifically aimed at volunteerism or donations. 

Beyond “getting that glow”, generosity towards others has also been found to improve psychological health and well-being .  When we give to others (or when we volunteer for a cause), we aim to improve the lives of others.  Yet, these acts also improve your sense of well being.

Microgiving–small acts of intentional kindness–is one way of igniting that glow.  

 

WHAT IS “MICROGIVING”?

Microgiving refers to the small, everyday acts of generosity and kindness you can engage in without much effort or planning. These are things like:

  • Holding the door open for someone
  • Sending a quick text to check on a friend
  • Give a genuine compliment 
  • Offering a smile to a stranger
  • Express gratitude
  • Donate small amounts to charities

These actions don’t need to be elaborate. The magic is in their simplicity—and their ability to connect you to others. It’s this connection that allows you to feel good about yourself and build your self-worth. You are just being the best version of yourself–the part that is kind, loving and thoughtful. The part that doesn’t get enough air time when you are rushing to meet deadlines or pick the kids up from school and criticizing yourself along the way.. 

The best part about focusing on microgiving in the New Year means that you don’t have to set unrealistic exercise goals, establish new work routines or give up chocolate (of course you can do these things if you want – but I don’t want to see you disappointed in yourself for not following through or measuring up!). Instead, you are making small, positive connections with people you encounter to spread some good vibes in the world. That’s it. 

 

A SMALL ACT WITH BIG IMPACT

Microgiving increases your sense of purpose and reduces isolation. It can offer you a fast anchor when things seem chaotic because you are connecting with another person and sensing your common humanity. Dr. Kristin Neff emphasizes that this is a key component of self-compassion. Microgiving also boosts your mood and your social skills. Acts of kindness light up the brain’s reward systems, releasing dopamine and serotonin that counteract frustration or boredom. These short interactions also foster meaningful social connections with minimal pressure, improving social skills without draining energy. A quick smile or brief greeting turns down loneliness and fosters a sense of community and belonging. 

 

5 WAYS TO USE MICROGIVING

Here are five easy steps to incorporate acts of microgiving into your routine:

  1. Start Small: Choose one simple thing to try per week. It might be texting a friend or family member to say you’re thinking of them. It might be deciding to open the door for another person at a store or the post office. Or it might be remembering to thank somebody for a nice action they do for you. The goal is to repeat this behavior throughout the week. 
  2. Set Reminders: If remembering to perform acts of kindness feels hard to do for your ADHD brain, that’s fine. Set notifications, alarms or visual cues to remind yourself. Maybe put a Post-It on your computer or your bathroom mirror to remind you to give a compliment or share a supportive thought. Cues remind you and keep you on track.
  3. Create Routines to Keep It Going: Routines build habits which is why consistency matters. Link your act of microkindness to an existing habit. For example, when picking up your daily coffee, thank the server and give a smile. When brushing your teeth, think of a person who might need a text of encouragement or a ‘hello’. When you pair things together, it increases the likelihood that you will remember them. I call one of my elderly parents when I drive to pick up my dog at the end of my day. Initially, I set an alarm but now I just do it automatically. 
  4. Forget about perfection: Microgiving isn’t about perfection. It’s about being present and noticing small opportunities to connect. Many people with ADHD struggle with social anxiety. Microgiving turns the worry about social interactions by shrinking the size of them. You are not engaging in long conversations but rather making brief contact that is warm and friendly. 
  5. Celebrate the Wins: After completing an act of kindness, take a moment to acknowledge how it makes you feel. Did you smile? Did someone else smile back? Did you feel a small wave of relief or connection? Taking time to recognize these moments reinforces their benefits.

 

By focusing on small acts of generosity, you are giving yourself the gift of connection, joy, and perspective. ADHD can lead to isolation, judgment and anxiety. Microgiving reminds you that you’re part of a community. Even when you’re feeling overwhelmed, a tiny, intentional act can shift your mental state, ease stress, and help you feel empowered. So think about what you would like to do and set your alarms to remind you about microgiving. What a great way to welcome 2025!

Surviving the Holiday Chaos with Your Neurodiverse Child: Practical Tips and Tricks

Dear Dr. Sharon:

My daughter has ADHD and I suspect she might be on the Autism spectrum, though she hasn’t been formally evaluated. She is eight years old and struggles with understanding social cues, navigating groups and keeping friends in addition to inattention and distractibility. After a lot of hard work, this is the first year that we finally have solid systems in place to support her at home and at school with consistent routines, clear expectations, a social skills group  and behavior therapy. But. with the holidays coming, I am worried that all of the activities and events will undo our hard work! It’s just so much – for her, our younger son and for us, as parents, too. We want our children to experience the joy that comes with this time of year, but not at the cost of her intense meltdowns and disruptions. How do I reduce holiday stress and overwhelm for my neurodivergent child, yet still make this time of year meaningful?   – Wendy

 

Dear Wendy,

The holiday season runs on overstimulation – all the food, all the lights, all the sounds, all the expectations…all the things, all month long. As the parent of a neurodivergent child, it can be tricky to strike a balance between fostering seasonal joy and setting boundaries during the holidays.  How can you create experiences that are fun, rewarding and calmer for you AND your neurodiverse family?

 

REALISTIC EXPECTATIONS

As parents, we have to take into consideration how much our children and teens with ADHD can actually tolerate, process and enjoy. Part of the holiday stress for neurodiverse kids and families comes from having too many of these activities in a row and not enough ‘down time’ to process them. When your daughter has a meltdown at 6 p.m. because she doesn’t like the mac-and- cheese, it probably has nothing to do with the food and everything to do with unloading steam from holding it together for so long throughout the day. So, here’s the tip: be realistic about how many gatherings and social engagements are truly necessary for a joyful holiday. Less is often more!

 

 

TIS’ THE SEASON TO SCHEDULE 

We know that children who are neurodivergent thrive with consistent expectations and a sense of control of some aspects of their day. But, these things aren’t that common in the chaos of the holiday season. Since schedules can change frequently during the holiday season, start by establishing basic routines to your day. Create blocks of times between breakfast, lunch and dinner that include high and low energy activities as well as a quiet period. Set up regular check-in times in the mornings and afternoons to monitor how she is doing. Collaborate on up to three choices for these time blocks if appropriate. 

You might also try saying “What’s different today?” on the refrigerator or a dry erase board – this is for the holiday party, or dinner at Grandma’s, or a parade after school. Remind her that the plan for the day is posted there and she can check it for herself. Verbal AND visual cues are key for kids with ADHD to help reduce the chaos of this season. 

Remember to have the “holiday house rules” conversation with both of your children. Different households often have different rules (no surprise). Be hyper-specific with your explanations about what’s okay and what’s to be avoided at the homes you are visiting. For example, “At Grandma’s house, we don’t jump on the couch,” or, “Uncle Bill doesn’t hear very well so it’s okay to talk loudly with him.” A little clarity goes a long way, and the more you can help your child visualize these transitions, the smoother they’ll go.

 

CREATE A CODE WORD

For a neurodivergent child, it can be difficult under normal circumstances to control their impulses and regulate emotions. This is doubly difficult during the holidays when everything is at full tilt.  Talk with your child about how she will know it’s time for a quiet break. What are the physical cues in her body like balled fists, clenched teeth, sweaty palms, etc. that signal its time for a breather. 

Together, come up with a code word that she can use to let you or other adults know that she needs a break. Pick a predetermined place that she can access easily to slow down and expect to go with her. This might be the bathroom or even your car, if quiet areas are in short supply at a party.  Keeping a few of her favorite activities or items in a tote bag such as fidget toys, a book or a small game can help her settle and bring comfort simultaneously.  

 

GIVE YOURSELF GRACE

Let’s be real: The holidays, even with all of the good stuff, can be stressful —for everyone. So, as much as you’re preparing to make things easier for your neurodivergent child, don’t forget to cut yourself some slack. Things won’t always go according to plan, and that’s okay. Sometimes, the most important things you can do are stay flexible, keep a sense of humor and ignite your playfulness. If you have to ditch caroling with the neighbors or throw unwrapped presents in colorful bags, that is just FINE.. After all, the holidays are about creating memories, not stressing over perfection.

 

 

 

The holiday season doesn’t have to be a minefield of overstimulation, confusion, and meltdowns. By setting realistic expectations, maintaining a flexible yet predictable routine, and keeping communication clear, you can ensure that your neurodivergent child has a holiday season that’s both joyful and manageable. And hey, with the right tools and a little humor, you might even survive it without needing to resort to a full-on holiday “time apart” yourself!