Nourishing Neurodivergence Podcast

54. Beyond Hot Flashes: Perimenopause & ADHD with Blair Buckler Pfeiffer, LCMHC/LPC, CST


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In this episode, Sam welcome Blair Buckler Pfeiffer, a licensed clinical mental health counselor, AASECT-certified sex therapist, and ADHD/perimenopause coach. With nearly two decades of experience, Blair brings warmth, humor, and deep clinical insight to her work supporting women through emotional, relational, and life transitions.


What We Cover:

  • Blair’s personal journey with ADHD and perimenopause, and how her experiences shaped her approach to therapy and coaching
  • The intersection of neurodivergence and hormonal changes, and why perimenopause can amplify ADHD symptoms
  • Common misconceptions about perimenopause and menopause, including the lack of education in medical training
  • The importance of hormone replacement therapy, and how to advocate for yourself with healthcare providers
  • Practical DBT (Dialectical Behavior Therapy) skills for navigating midlife transitions
  • The value of self-advocacy, listening to your body, and building confidence in medical and personal settings


Resources Mentioned:

  • Blair’s coaching website: blairpfeiffercoaching.com
  • Therapy resource: helpwithdbt.com
  • Dr. Mary Claire Haver (hormone health)
  • Dr. Elaine Aron (Highly Sensitive Person research)


Connect with Blair:

  • Coaching: blairpfeiffercoaching.com
  • Therapy (NC & SC): helpwithdbt.com


Connect with Sam:

  • Website: unmasked-nutrition.com
  • Claim your 14 day free trial to Unmasked Meal Prep
  • Instagram: @sammib.nutrition


If you enjoyed this episode, please subscribe, rate, and review the podcast. Stay safe, stay nourished, and see you next time!

Disclaimer: This episode is for education purposes only. This episode is not intended to replace individualized nutrition counseling provided by a registered dietitian or medical care provided by a medical provider.

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Nourishing Neurodivergence PodcastBy Samantha Berkowitz, MPH, RD, LDN