Karise McNamee - Paths with Purpose

Karise McNamee - Paths with Purpose AuDHD Counselling Social Worker supporting ADHD & AuDHD women (burnout, shame, perimenopause, PMDD, hormones, health challenges). Book a session with me today.

I provide mental health counselling for women with:

- fertility grief and loss
- hormonal conditions such as PMDD, PMS or perimenopause
- challenges or mental health concerns related to ADHD, AuDHD and autism

I will provide you with a safe space to express your feelings and frustrations, and teach you strategies to navigate your changing emotions and behaviors, rather than trying to change who you are. I will work with you to help you to feel balanced, and better able to cope and communicate your needs, despite sometimes feeling lost, misunderstood, or out of control. My own lived experience with similar conditions means that I truly understand how this can impact so many areas of your life, and how exhausting it can be to put on a ‘happy face’ all the time. I offer flexible online sessions to women all across Australia, no matter where you live, or how you may be feeling. Because you deserve to feel heard and supported. I understand and I am here to help you. Still want to know a bit more about me? Here are some podcast episodes where I have been interviewed about my work and experience. https://youtu.be/IenbfgPK_yI

https://open.spotify.com/episode/6XvCsloRBvB90ezbFOHqv0?si=vm9S0o_-RxyHh7TjCsko_g

22/11/2025

More than half of women with ADHD experience debilitating symptoms of perimenopause compared to one-third of women without ADHD, finds a new population-based study.

19/11/2025

While I am very glad that this is happening, it is LONG OVERDUE.

The amount of women I see for counselling who have been gaslit and misdiagnosed is mind boggling. I have years of lived experience in this space myself!

I will be watching this very closely as it unfolds further.

17/11/2025
There are loads of these on YouTube called “Brain Breaks”. What a fun way to get some movement in!!!!!
16/11/2025

There are loads of these on YouTube called “Brain Breaks”. What a fun way to get some movement in!!!!!

15/11/2025

Researchers at the European College of Neuropsychopharmacology held two studies that allowed people diagnosed with ADHD to mentally wander in directed and uncontrolled fashions to unlock their full creative abilities. The results found that those allowed “deliberate mind wandering” were able to unlock higher creative potential, but people diagnosed with more ADHD symptoms creatively thrived better in both “deliberate” and “spontaneous” mind wandering compared to their counterparts.

"We found that people with more ADHD traits, such as lack of attention, hyperactivity, or impulsivity, score higher on creative achievements in both studies. This supports previous research,” said lead researcher Dr. Han Fang. “Additionally, we found that mind wandering, particularly deliberate mind wandering, where people allow their ‘thoughts to wander on purpose,’ was associated with greater creativity in people with ADHD. This suggests that mind wandering may be an underlying factor connecting ADHD and creativity.” Read more about this breakthrough below.

15/11/2025

Queensland will become the first state or territory to allow general practitioners to diagnose and treat Attention Deficit Hyperactivity Disorder in adults.

14/11/2025
14/11/2025

STOP USING PERIODS AS PROOF YOUR HORMONES ARE “NORMAL.”

Perimenopause 101:
You can still bleed with LOW estrogen.
You can still bleed with NO ovulation.
You can still bleed while having terrible symptoms.

Because bleeding doesn’t require “healthy hormones.”
It just requires enough estrogen to nudge the uterine lining… and then for that lining to become unstable and shed.

That’s it.

Here’s what the research shows:

🔸 Up to 75% of perimenopausal cycles are anovulatory.
No ovulation = no real progesterone.

🔸 Estradiol can swing from postmenopausal low to normal reproductive levels in the same month — and women still have periods.

🔸 Bleeding in perimenopause is often breakthrough shedding, not a true menstrual cycle.

So if your doctor says:
“Your hormones can’t be changing… you’re still getting periods.”

👉 They’re using a 1950s understanding of female physiology.

Your period tells us NOTHING about:
• whether you ovulated
• whether estrogen is adequate for brain, sleep, mood, libido
• whether progesterone is present
• whether your symptoms are real
• whether you deserve treatment
• whether you’re in perimenopause

Symptoms > calendar.
Science > assumptions.

If you’re struggling: hot flashes, insomnia, anxiety, mood swings, cycle changes, low libido—you don’t need to “wait until your periods stop.”

You need a clinician who understands modern perimenopause.

Share this with someone who’s being dismissed because they “still menstruate.”

Address

Sydney, NSW

Opening Hours

Wednesday 9am - 6pm
Thursday 10am - 7:30pm
Friday 10am - 7:30pm

Telephone

+61413131972

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