In this episode of Overcoming Distractions, Dave welcomes Dr. Gilly Kahn, a clinical psychologist, ADHD specialist, and author of the new book, Allow Me to Interrupt. While ADHD is often associated with external disruptions in boys, Dr. Kahn highlights how it frequently manifests internally as emotional dysregulation in women.
The conversation dives deep into why women are often diagnosed later in life and how biological factors, specifically hormonal shifts, play a critical role in how ADHD symptoms fluctuate.
Key Discussion Points
- The Gender Bias in Diagnosis: Dr. Kahn discusses how current ADHD diagnostic criteria are historically rooted in observations of male children, often leading to women provided with an accurate diagnosis.
- The Estrogen-Dopamine Connection: A fascinating look at how fluctuating estrogen levels during the menstrual cycle, pregnancy, and perimenopause directly impact dopamine availability, often exacerbating ADHD symptoms during the luteal phase.
- Late-Life Diagnosis: Why many professional women aren’t diagnosed until their 40s or 50s, often triggered by the increased cognitive load of demanding careers, parenting, or perimenopause.
- Co-occurring Physical Challenges: The link between ADHD and chronic health issues like migraines, which further complicate emotional and physical regulation.
- Strategic Management: Practical advice on “capitalizing” on high-energy weeks and practicing self-compassion during more difficult hormonal shifts.
You can find Dr. Kahn at her website: https://www.drgillykahn.com/

Key Discussion Topics:
For Busy Professionals with ADHD:
Jeff shares how this model provides a simple, actionable, and universal accommodation to help mitigate the challenges of ADHD and burnout. Tune in to understand why direct communication is the most basic, yet often overlooked, tool for achieving clarity with Adult ADHD.
Defining Your Own Success: The discussion emphasizes that success is deeply personal and should be defined internally, not by societal expectations, parental influence, or external markers like money, status, or titles.
Embrace Your “Positives”: For individuals with ADHD, what might be labeled as “negative traits” like hyperactivity or hyperfocus can actually be powerful assets in the right environment. Reframe these characteristics as strengths that offer unique advantages, such as excelling in sales or problem-solving.
Christopher shares insights from his own journey with ADHD, the philosophy behind Atomic Growth, and practical advice for ADHD’ers with demanding careers and business owners looking to find success and fulfillment without relying on unsustainable pressure.
Britt highlights that our nervous system fundamentally seeks safety and connection. Modern life often undermines both, leading to feelings of unsafety within our bodies and relationships, and a sense of “connected but disconnected” through technology. They explore the difference between stress and the cumulative “allostatic load” of chronic stress, emphasizing that simply resting isn’t always enough to release built-up tension.