Episode 248

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Published on:

23rd May 2026

Episode 248: How Perimenopause is Different for ADHD Women [featuring Mandi Dixon]

In this episode, Patrick Casale talks with Mandi Dixon, LPC, EMDR therapist, and ADHD executive functioning coach, about the intersection of ADHD and perimenopause, an area with far too little research and awareness—despite how profoundly it impacts so many lives. Mandi shares both expertise and lived experience, highlighting the real challenges faced by neurodivergent individuals navigating this transition.

3 Key Takeaways:

  1. Perimenopause and Neurodiversity: The intersection of ADHD (and often autism) with perimenopause leads to increased and earlier symptom onset, more intense sensory sensitivity, sleep disruption, and overwhelming emotional changes.
  2. It’s Not All in Your Head: Many women (and people of all genders with similar physiology) are misdiagnosed or dismissed by healthcare providers. Recognize that these symptoms are hormonal and neurological—not character flaws or mental health failures.
  3. There Is Help Available: Specialized menopause practitioners (often accessible via telehealth) and resources like symptom trackers can empower individuals to advocate effectively for the care they deserve.

More about Mandi:

Mandi Dixon is a Licensed Professional Counselor, EMDR therapist, and ADHD Executive Function Coach specializing in the intersection of ADHD and perimenopause in women. She’s a member of The Menopause Society and the International Society for the Study of Women’s Sexual Health, and her work has been featured in USA Today and Good Morning America. Mandi is based in Allen, Texas, where she sees clients and is currently writing her first book on ADHD and midlife hormonal health.

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Mentioned in this episode:

NeuroPreneur Circle Community

NeuroPreneur Circle is an online community built by and for neurodivergent entrepreneurs who want a supportive space to build a business, a space where they can show up as themselves and in whatever way feels most comfortable. NeuroPreneur Circle exists because community built on masking isn't really community. And business advice built for neurotypical brains isn't actually useful to us, no matter how many times we try to make it fit. Whatever your neurotype, whatever you're building, there's a space here for you. You've been creating alone long enough. Visit: https://atppod.com/community

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About the Podcast

The Neurodivergent Entrepreneur
Honest conversations about building a business while Neurodivergent, the self-doubt, the chaos, and everything in between.
The Neurodivergent Entrepreneur is a podcast for ADHD, Autistic, and all other neurodivergent entrepreneurs who are building businesses, creative work, and lives that actually fit how their brains work. Hosted by Patrick Casale, LCMHC, this show is for people who
want to create meaningful work, create outside of the box, grow their impact, and build something sustainable without losing themselves in the process.

Being a neurodivergent entrepreneur can feel like holding a lot of contradictions at once. You may have big ideas, deep passion, creative energy, and a strong desire to do things differently. You may also be navigating burnout, masking, self-doubt, perfectionism, rejection sensitivity, executive dysfunction, inconsistent energy, and the pressure to keep showing up when your capacity is already stretched. This podcast speaks to that reality honestly, because building a business around your brain, your values, and your lived experience can be powerful, complicated, messy, and deeply personal.

Patrick Casale is a chronically ill, AuDHD, mental health therapist, entrepreneur, TEDx speaker, event host, group practice owner, and neurodivergent business owner who has built, grown, burned out, pivoted, and kept going. His work brings together clinical insight, lived experience, business perspective, and real conversation about what it actually takes to create something that feels values aligned. His conversations are direct, compassionate, unfiltered, and practical, with room for both the emotional reality of entrepreneurship and the concrete decisions that shape a sustainable business.

New episodes drop every Wednesday and feature honest conversations with neurodivergent entrepreneurs, creators, therapists, business owners, and leaders. Together, Patrick and his guests explore entrepreneurship, identity, mental health, chronic health,
creativity, leadership, systems, money mindset, visibility, community, sustainable growth, and the behind-the-scenes reality of creating work that matters.

Build your dream business. Protect your capacity. Work with your brain instead of against it.