When we think about attention challenges and emotional regulation, we often jump straight to executive functioning, focus hacks, or brain chemistry. But in my clinical practice, especially with complex cases involving attention issues and cycle-related conditions like ADHD or PMDD, I see another piece of the puzzle show up over and over again: nervous system dysregulation.

PMDD stands for Premenstrual Dysphoric Disorder, a severe hormone sensitivity that causes significant emotional and physical symptoms in the luteal phase (the 1–2 weeks before your period). While PMS can cause some mood changes, PMDD is debilitating and often misdiagnosed as anxiety, depression, or in many of my clients’ cases—just "worse ADHD."