MissUnderstood: The ADHD in Women Channel

ADHD and accountability (without the shame)

Jan 13, 2026
Exploring accountability can be a weighty issue for women with ADHD. The impact of late diagnoses and masking often amplifies feelings of guilt. Hormones like estrogen and progesterone can cause symptom fluctuations, complicating accountability further. The distinction between excuses and explanations is crucial for understanding ADHD challenges. With strategies like micro-goals and compassionate support systems, listeners learn to reframe accountability without shame and cultivate self-compassion.
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INSIGHT

Late Diagnosis Amplifies Accountability Shame

  • Years of late diagnosis and masking make accountability feel like exposure.
  • Monica Johnson explains that hidden shortfalls amplify shame when accountability is requested.
INSIGHT

Hormones Shift ADHD Symptom Intensity

  • Hormonal fluctuations change dopamine and norepinephrine and can worsen ADHD symptoms.
  • Monica Johnson notes symptoms can spike during PMS, postpartum, and perimenopause.
INSIGHT

Explanations Versus Excuses

  • Society often mistakes ADHD explanations for excuses.
  • Monica Johnson highlights that explanations offer context while excuses dodge responsibility.
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