04/22/2026
Trauma and the Nervous System
Trauma doesn’t just live in memories.
It lives in the nervous system.
Experiences of trauma can change how the brain responds to stress, safety, and trust.
Years later this can show up as:ADHD or Perimenopause
Many women come into my office in their 40s saying something surprising:
“I think I suddenly have ADHD.”
They feel distracted, overwhelmed, forgetful, and unable to focus.
But what many women don’t realize is that estrogen plays a major role in brain function.
Estrogen influences neurotransmitters like dopamine and serotonin, which affect focus, motivation, and cognitive clarity.
As estrogen fluctuates during perimenopause, the brain can feel very different.
For some women it truly is ADHD.
But for many women it’s hormones interacting with brain chemistry.
Understanding that connection can change how we approach symptoms like brain fog and focus.
• anxiety
• sleep disruption
• hypervigilance
• difficulty relaxing
• tension in the body
This is why trauma-informed care is essential in women’s health.
Every woman deserves healthcare that centers safety, compassion, and respect.
Healing begins when patients feel heard.
*xualassaultawareness