Share

AuDHD Flourishing
112 ADHD in Women and Girls
Thanks to Hyperfocus with Rae Jacobson for letting me cross-post this important discussion about one of the first longitudinal studies of ADHD in women and girls!
Full show notes, timestamps, and Transcript available on Hyperfocus' site
(Ep 5, The “devastating” findings of a decades-long ADHD study, Dec 5, 2024 has the full version; it was reposted Aug 28 2025 with more brief notes)
Dr. Stephen Hinshaw is one of the leading voices when it comes to ADHD in women and girls.
That’s in large part due to his work on The Berkeley Girls Study. (Its full name is The Berkeley Girls with ADHD Longitudinal Study, but most people know it by that shorthand or acronym: The BGALs Study.)
Under Steve’s leadership, researchers began studying 140 girls with ADHD and a control group of nearly 90 girls without it. They’ve been following these girls into their adulthood, producing a reams of information that has helped shape current understanding of ADHD in women and girls.
That said, Rae Jacobson had plenty of questions for Steve:
- Why did you want to study ADHD in girls at a time when it was typically seen as a boys’ disorder?
- Why is it that one type of ADHD seems to lead to such negative outcomes?
- What do we do about the stigma that still surrounds the disorder?
note: This episode includes discussion of suicide and self-harm. Please take care when listening and skip this one if you need to.
Listen to more episodes of Hyperfocus here
More episodes
View all episodes

150 The Wall of Awful with Brendan Mahan
58:18|Brendan Mahan's concept of The Wall of Awful has taken on a life of its own. While originally geared toward ADHD, it's also extremely applicable to other neurodivergent folks including autism, AuDHD, OCD, and PDA.In short, there are a bunch of tough emotions built up over time between you and tasks that are difficult for you (whether or not anyone else believes they are easy). While you may instinctively figure out how to sidestep or smash through the issues, it's not really addressing the deeper problem that still affects you the next time.Brendan's book, The Wall of Awful, comes out Sep 1 2026, and you can learn an overview of the concepts at the YouTube videos listed under #3 belowConnect with Brendan / Mentioned in episode:The Wall of Awful book & resources, and if you're buying on Amazon here's my affiliate linkFriendship Skills for Neurodivergent Adults by Caroline Maguire, book, affiliate link2 short vids explaining the Wall of Awful & strategies for going through & over it by Jessica McCabe of How to ADHDAuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
149 The Consistency That Matters
18:43|"Consistency" can feel like a dirty word in neurodivergent land... Consistency is a tool, not a final answer. It can be a better fit than habits for our brains (see past 3 episodes) It can be part of building systems that work for us (including reminders, since forgetting is a big reason for inconsistency) Kindness and self-compassion are where consistency REALLY matters, because they build capacity over time AuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
148 Breaking Bad Habits
25:04|Builds on last two episodes: Self-Awareness vs. Solutions and Habits are Hard (but also very cool)Breaking "bad" habits is different (and more difficult) than building new habits. I also recommend not being too aggressive about it if those coping mechanisms are load bearing psychologically ;)AuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
147 Habits are Hard (but also very cool)
23:09|There's some evidence that ADHD brains in particular may have trouble forming habits as they're traditionally thought of. But that doesn't mean they have no value for us!This episode is about how to lean into the part of habit formation that may work for us (spoiler alert, you may need WEIRD rewards)Builds on last week's episode, Self-Awareness vs. Solutionsp.s. hopefully the birdsong in the background isn't too annoying... I recorded with the windows open and didn't realize it would pick up! p.p.s. by the time you listen to this, we'll be at 1,000,000 downloads 🥳AuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
146 Self-Awareness vs. Solutions
19:56|You may have been told that you're "so self-aware," yet struggle to actually implement solutions. In the moment, you might be lacking the support, the executive function, the initiation energy, etc.Introspection and self-awareness are great, but they're not the end of the process.AuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
145 Mediocrity is a Needed Step
10:14|In the context of learning a musical instrument, it's obvious that there's a period of not being good at it. Whether you call it mediocrity or a skill gap, there's often a gap between where you are and where you want to be. There are many cases in which we can only improve by doing, trying, and yes, failing. It's uncomfortable and that's normal. You don't have to like it, but it is a step in learning or improving.I HATE IT. And I also know it's going to happen.AuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
144 Don't Do All the Things
20:35|Trying to do all of the things, all of the time is a recipe for being stuck.Instead, do some of the things, some of the time.The episode also talks about a couple of imagination techniques that may help with some types of PDA or other demand avoidance.AuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
143 Creative Blocks & Insecurities
37:00|Last week we talked about creative entrepreneurship.This episode is about my recent & current creative blocks and insecurities that cover some of the difficulties of being a professional creative.And because people may ask: here's my pre-transition voice, and more-or-less current voiceRelated episodes: 100 Creative Time Limitations24 Redefining Creative Success with Chris HaleAuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)
142 Neurodivergent Creative Entrepreneur with Jon Hart
01:09:55|Jon Hart is building an online space for neurodivergent musicians. And our conversation focused on the entrepreneurship side of things, because occasionally our disability disables us!Being a creative entrepreneur has its own challenges. One of which is having too many ideas... Connect with Jon: neurodivergentmusicians.com & the research questionnairejonhartmusic.comAuDHD Flourishing resources:Transcript Doc (often a few weeks behind, but we do catch up!)Mattia's NewsletterLike Your Brain community space (Patreon/Discord)