This post discusses postnatal depression, undiagnosed ADHD, and suicidal crisis. If you are struggling right now, please reach out to PANDAS on 0808 1961 776 or Samaritans on 116 123 before reading on. You are not alone.
Maternal Mental Health Week: the ADHD and PND connection that almost cost me my life.
As I sit in the new house, surrounded by chaos yet warmed by a hot cup of tea, I can reflect on how far I’ve come. Almost two decades ago, I was in a very different place. But this isn’t meant to be a sad story, far from it. This is a story of a mother with undiagnosed adhd and postnatal depression, who fought hard, coming out not only stronger, but gentler on herself too.
With two boys under two, I found motherhood hard. I wasn’t a confident mum, but at least by the time I had my second, I had a bit of a routine going. Looking back, I can totally see the signs of the AuDHD. I clung to Gina Ford and the routine, but I also found it hard to organise myself and the boys. I couldn’t do more than 1 ‘thing’ in a day, and looked in awe and horror at friends who could visit friends and family, and fit in an activity all in the same day. But as the months went on, any feelings I had started to become numb, and any joy that had been there had gone.
Not an easy journey
I was lonely; I had moved away from family and friends, and didn’t drive at the time. And with two under two, it wasn’t the easiest to get on a bus and go out. I withdrew and spent more and more time at home. My husband had a busy social life playing golf and squash, so he would be out a lot of evenings and weekends. I knew it would be tiring, but it was beyond that; I was exhausted, constantly. I quite often felt as if I wasn’t really there, or felt nothing at all. Feeling so alone, so out of my depth, and so miserable, utterly, utterly miserable, at what should be one of the happiest moments of your life.
Over the coming months, nothing seemed to get easier; I was still struggling, still found the day-to-day difficult. Still felt nothing. I began clawing at my skin to try and feel something. My forehead was often raw and bleeding, covered by a long fringe. I began to question everything, especially my ability to be a good mother and wife. I had very little contact with friends and family and hid away from the world. The final straw was not being able to attend a family event because the OH was playing golf. That night was my lowest point, and I honestly felt that everyone would be better off without me.
A wake-up call – literally!
I woke the next morning, which I wasn’t expecting at all. The weight of what had happened hit home immediately, and I knew I needed to get help. I was diagnosed with postnatal depression and immediately put on antidepressants and went to therapy. At this point, the connection to ADHD hadn’t been made. We all still saw it as something that affected young boys. And while we are now talking much more about the connection between the hormonal shift of perimenopause and ADHD, we still talk less about the connection between PND and ADHD. I wish I’d known then what I know now about the hormone crash and the dopamine dysregulation, the specific vulnerability of undiagnosed ADHD women in the postpartum period.
Women with ADHD are significantly more likely to experience severe postpartum mental health difficulties. And girls are consistently diagnosed later than boys — often not until adulthood, often not until a crisis. The cost of that delay is not academic. Consistently conducted research shows that oestrogen plays a significant role in dopamine regulation. The crash in oestrogen after birth is particularly hard for women with ADHD, diagnosed or not. There is a direct correlation between estrogen and dopamine levels, as this article from ADDitude shows.
ADHD and postnatal depression
Not only does the postpartum period exacerbate the symptoms of ADHD, but women with ADHD are at significantly elevated risk of postnatal depression. The combination of sleep deprivation, hormonal disruption, and sensory overload creates a ‘perfect storm’ for women who are already working harder than most to manage. The PANDAS Foundation has some fantastic resources on this very topic.
For me, the recovery was slow, but by the time I had my third child, 7 years later, I was armed with knowledge. I still didn’t know then about my AuDHD, but I was confident and aware enough to be gentler on myself. To understand that, I found parenthood, for whatever reason, harder than most. Who knows what that early experience would have been like for me (and the boys) had I been armed with a diagnosis and support. We know that women who have a diagnosis report significant improvement in self-understanding, self-compassion and feel able to ask for support.
Research and awareness
If we can improve research and continue to raise awareness, we can ensure diagnosis before motherhood. So new mothers with ADHD can enter the postpartum period with awareness, coping strategies and support from family, friends and healthcare professionals. That is not a small thing. For some women, it would be the difference between surviving and not.
Now, nearly 20 years later, it took my youngest’s journey with AuDHD, and me hitting perimenopause, to realise my own diagnosis of AuDHD. Suddenly, everything made sense. The periods of major hormonal fluctuations in a woman’s life were all the times when I had particularly struggled. If you are currently struggling, know you are not alone, and be kind to yourself. There is support available now (see the resources at the end of this article). If you, like me, are now coming/or are out the other end, well done! It wasn’t easy, but we are stronger because of it.
This is my direct call to healthcare professionals, GPs, CAMHs, etc., to really take note of the importance of early diagnosis, especially in women and girls. It’s not something that will just help them as they get older; it could literally save their lives.
Fay x
If anything in this post has resonated with you, or if you are struggling with your mental health right now, please reach out. You do not have to manage this alone.
In crisis now: Samaritans — 116 123 (free, 24 hours a day, 7 days a week) or samaritans.org
Postnatal depression support: PANDAS Foundation — 0808 1961 776 or pandasfoundation.org.uk
ADHD diagnosis and support: ADHD UK — adhduk.co.uk | ADHD Foundation — adhdfoundation.org.uk
Maternal mental health: Association for Postnatal Illness — apni.org
For neurodivergent women specifically: Neurodivergent Women — neurodivergent-women.org
If you think you or someone you love may have undiagnosed ADHD, please speak to your GP. You deserve a diagnosis. You deserve the right support. And if your GP doesn’t listen, you are entitled to ask again.















