The impact of hormonal changes and challenges faced by neurodiverse individuals
- Sarah Lambourne
- Aug 27
- 3 min read
Updated: Sep 30
A growing body of medical research confirms a strong link between hormonal fluctuations and the intensification of challenges faced by those with neurodiverse conditions, such as Autism Spectrum Condition (ASC) and Attention Deficit Hyperactivity Disorder (ADHD).
Conversations with parents and education professionals highlight that many children and young people experience increased difficulties as they go through puberty, particularly when hormonal changes and the onset of menstruation occur.
Understanding Hormonal Impacts on Neurodiversity

The Role of Hormones in Neurodiversity
Research demonstrates that hormonal transitions—especially during puberty, menstruation, and other developmental phases—can markedly affect individuals diagnosed with neurodevelopmental disorders, including Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Condition (ASC).
A study authored by Quinn and Madhoo (2014) in the Journal of Attention Disorders illustrates that variations in oestrogen and progesterone levels can alter dopamine and serotonin activity. This alteration may aggravate ADHD symptoms, including emotional dysregulation, impulsivity, and challenges with executive functioning.
Menstrual Cycle and Symptom Variability
Littman et al. (2021) found that a significant number of individuals on the autism spectrum report increased sensory sensitivities, anxiety, and emotional lability during the hormonal fluctuations corresponding to their menstrual cycle. These alterations can result in observable changes in behaviour, academic performance, and social interactions.
Clinical Observations
Clinical observations frequently indicate that female patients with ADHD or ASC may exhibit exacerbated symptoms premenstrually. This includes mood disturbances, irritability, and impaired concentration. These observations align with reports from parents and educators, highlighting the need for increased awareness and support.
Recommendations for Support
Track the Menstrual Cycle: Establish a tracking system for the menstrual cycle to discern patterns in behavioural and emotional fluctuations. This can help in understanding individual needs better.
Flexible Accommodations: Provide flexible accommodations within educational settings. This may include access to sensory regulation tools, quiet areas, or modified workloads during particularly challenging periods of the month.
Collaborate with Healthcare Professionals: Work with healthcare professionals to investigate potential interventions. This could involve nutritional guidance, lifestyle modifications, or medical recommendations for hormonal management where appropriate.
The Importance of Understanding Hormonal Changes
Understanding the hormonal changes that affect neurodiverse individuals is crucial. It allows us to create supportive environments that acknowledge these challenges. By implementing targeted interventions, we can mitigate the adverse effects of hormonal fluctuations on well-being and educational outcomes.
Conclusion
The association between hormonal changes and the difficulties encountered by individuals with neurodiversity is well-documented in the medical literature. The implementation of targeted interventions may significantly improve the quality of life for those affected.
As we continue to explore this important topic, let’s remember that each individual is unique. Tailoring support to meet their specific needs can make a world of difference.
Stay Quirky, Stay Brilliant!! 🧠🌈✨
Mrs Kelly Young, DipHE Social Sciences
Neurodiverse Consultant
Neurodiversity Support UK
Additional Resources for Understanding Neurodiversity
Books and Literature
Reading can provide valuable insights into neurodiversity. Here are a few recommended titles:
The Reason I Jump by Naoki Higashida
NeuroTribes: The Legacy of Autism and the Future of Neurodiversity by Steve Silberman
Online Communities
Connecting with others can be incredibly beneficial. Consider joining online forums or social media groups focused on neurodiversity. These platforms can offer support, advice, and shared experiences.
Workshops and Training
Participating in workshops can enhance understanding and skills related to neurodiversity. Look for local or online training sessions that focus on supporting neurodiverse individuals in educational settings.
By expanding our knowledge and fostering inclusive environments, we can help everyone thrive.









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