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Have you ever been on medication, done all the things, prepped, pre-scheduled, and still lost the plot completely — and then spent the drive home wondering if the medication is even working? Have you ever gone back to your GP and said 'I'm still losing it' and walked out with a higher dose, a different script, or a referral — and none of it touched the actual problem? Have you ever thought maybe I'm just broken in a way that medication can't reach?
You're not. But nobody told you there were two layers — and this episode is the one that explains why no dose adjustment has ever closed that gap.
What we cover
Quick note — I share my own experience here, not medical advice. For anything about your medication or dose, your GP or specialist is the right person to ask
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This is Part 4 of the Mum Rage series. Start at Part 1.
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References
Rösler, M., Retz, W., Fischer, R., Ose, C., Alm, B., Deckert, J., Philipsen, A., Herpertz, S., & Ammer, R. (2010). Twenty-four-week treatment with extended release methylphenidate improves emotional symptoms in adult ADHD. World Journal of Biological Psychiatry, 11(5), 709–718. https://doi.org/10.3109/15622975.2010.482986
Moukhtarian, T. R., Cooper, R. E., Vassos, E., Moran, P., & Asherson, P. (2017). Effects of stimulants and atomoxetine on emotional lability in adults: A systematic review and meta-analysis. European Psychiatry, 44, 198–207. https://doi.org/10.1016/j.eurpsy.2017.05.021
Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., & Critchley, H. D. (2015). Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biological Psychology, 104, 65–74. https://doi.org/10.1016/j.biopsycho.2014.11.004
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Have you ever told yourself you'll finally do the thing when it's quiet — and then the quiet came and you reorganised a drawer? Have you ever promised yourself the school holidays would be different, stacked up everything you were going to get done, and then spent the first Monday back staring at the wall and doing everyone's admin except your own? Have you ever been the most productive you've been all year on the last week of term, and then wondered why that woman never shows up any other time?
What we cover
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📬 Listener Questions & Community
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References
Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94. https://doi.org/10.1037/0033-2909.121.1.65
Volkow, N. D., Wang, G.-J., Newcorn, J. H., Kollins, S. H., Wigal, T. L., Telang, F., Fowler, J. S., Goldstein, R. Z., Klein, N., Logan, J., Wong, C., & Swanson, J. M. (2011). Motivation deficit in ADHD is associated with dysfunction of the dopamine reward pathway. Molecular Psychiatry, 16(11), 1147–1154. https://doi.org/10.1038/mp.2010.97
Sonuga-Barke, E. J. S. (2003). The dual pathway model of AD/HD: An elaboration of neuro-developmental characteristics. Neuroscience & Biobehavioral Reviews, 27(7), 593–604. https://doi.org/10.1016/j.neubiorev.2003.08.005
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It's 11:00 PM. You sit up in bed with your chest tight and your heart going. Nothing happened. You went to sleep fine. You lie there trying to work out what's wrong with you, and the answer is nothing — except your body has been running a two-hour delayed reaction to a school email you read, closed, and forgot about at 9:02 PM.
What We CoverEnergy Accounting Guide — https://adhdmums.com.au/product/adhd-mums-energy-accounting-guide/
Related EpisodesStart with the rest of this series:
MUM RAGE #1: 3 Reasons It Feels Like It Came Out of Nowhere. (It Didn't.) — https://adhdmums.com.au/adhd-podcast-episodes/3-reasons-adhd-mum-rage-feels-like-it-came-out-of-nowhere-it-didnt/
MUM RAGE #2: 3 Reasons 'Just Breathe' Has Never Worked for ADHD Mums. (And What Actually Does.) — https://adhdmums.com.au/adhd-podcast-episodes/mum-rage-2/
Also from the archive:
S2 EP84 — I Love My Family But I'm So F*cking Angry: Mum Rage Part 1 (with Jacinta Thomson) — https://adhdmums.com.au/podcast_episode/episode-84-i-love-my-family-but-im-so-fking-angry-mum-rage-part-1/
EP71 — When You Can't Relax Even When It's Quiet — https://adhdmums.com.au/podcast_episode/why-adhd-mums-cant-relax/
EP93 — When You Remove the Stress — https://adhdmums.com.au/adhd-podcast-episodes/when-you-remove-the-stress-and-start-wondering-whats-wrong-with-you/
S3 — I'm Gentle With My Daughter for Ten Minutes. Then I Tell Myself to Stop Being Such a F*cking Embarrassment. — https://adhdmums.com.au/adhd-podcast-episodes/im-gentle-with-my-daughter-for-ten-minutes-then-i-tell-myself-to-stop-being-such-a-fcking-embarrassment/
EP81 — The Hidden Cost of Being the 'Good Girl' — https://adhdmums.com.au/adhd-podcast-episodes/the-hidden-cost-of-being-the-good-girl-how-the-mental-load-became-ours/
📬 Listener Questions & Community
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Send a WhatsApp voice or written on 0403 457 313
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References & Further ReadingSeli, P., Risko, E. F., Smilek, D., & Schacter, D. L. (2016). Mind-wandering with and without intention. Trends in Cognitive Sciences, 20(8), 605–617. https://doi.org/10.1016/j.tics.2016.05.010
Smallwood, J., & Schooler, J. W. (2015). The science of mind wandering: Empirically navigating the stream of consciousness. Annual Review of Psychology, 66, 487–518. https://doi.org/10.1146/annurev-psych-010814-015331
Murphy, J., Brewer, R., Catmur, C., & Bird, G. (2017). Interoception and psychopathology: A developmental neuroscience perspective. Developmental Cognitive Neuroscience, 23, 45–56. https://doi.org/10.1016/j.dcn.2016.12.006
Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1997). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge University Press. https://doi.org/10.1017/CBO9780511526831
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📬 Listener Questions & Community
It's 5:45 PM. I'm cooking three separate dinners on not enough burners. My six-year-old is crying about the green spoon. My eight-year-old is in a Minecraft cave with a dog that needs a bone. My ten-year-old has found paint.
'Find a good stopping place' is good advice.
It just assumes conditions that don't exist in this house.
What We Cover
Free Resources
Surviving the Mental Load of the School Year (Free)
👉 https://adhdmums.com.au/product/adhd-school-year-mental-load-kit/
Household Family Meeting Template (Free)
👉 https://adhdmums.com.au/product/adhd-household-family-meeting-template/
Paid Resource
Meltdown & Shutdown Guide for Mums & Children
👉 https://adhdmums.com.au/product/navigating-meltdowns-strategies-for-parents/
Related Episodes
🎙️ Ask a Listener Question (voice)
Voice notes are preferred when possible — hearing your voice helps add context — but you’re very welcome to submit a written question instead.
Send a WhatsApp voice or written on 0403 457 313
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👥 Join the ADHD Mums Facebook Group
For community, shared language, and conversations with other mums who get it.
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References
Arnsten, A. F. T., & Li, B.-M. (2005). Neurobiology of executive functions: Catecholamine influences on prefrontal cortical functions. Biological Psychiatry, 57(11), 1377–1384. https://doi.org/10.1016/j.biopsych.2004.08.019
Arnsten, A. F. T. (2011). Catecholamine influences on dorsolateral prefrontal cortical networks. Biological Psychiatry, 69(12), e89–e99. https://doi.org/10.1016/j.biopsych.2011.01.027
Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65–94. https://doi.org/10.1037/0033-2909.121.1.65
Baumeister, R. F., Bratslavsky, E., Muraven, M., & Tice, D. M. (1998). Ego depletion: Is the active self a limited resource? Journal of Personality and Social Psychology, 74(5), 1252–1265. https://doi.org/10.1037/0022-3514.74.5.1252
Hagger, M. S., Chatzisarantis, N. L. D., Alberts, H., Anggono, C. O., Batailler, C., Birt, A. R., Brand, R., Brandt, M. J., Brewer, G., Bruyneel, S., Calvillo, D. P., Campbell, W. K., Cannon, P. R., Carlucci, M., Carruth, N. P., Cheung, T., Crowell, A., De Ridder, D. T. D., Dewitte, S., . . . Zwienenberg, M. (2016). A multilab preregistered replication of the ego-depletion effect. Perspectives on Psychological Science, 11(4), 546–573. https://doi.org/10.1177/1745691616652873
Herwig, U., Bräuer, K., Connemann, B., Spitzer, M., & Jakobs, O. (2018). Selective impairment of attentional set shifting in adults with ADHD. BMC Psychiatry, 18, Article 334. https://doi.org/10.1186/s12888-018-1912-5
Monsell, S. (2003). Task switching. Trends in Cognitive Sciences, 7(3), 134–140. https://doi.org/10.1016/S1364-6613(03)00028-7
Rubinstein, J. S., Meyer, D. E., & Evans, J. E. (2001). Executive control of cognitive processes in task switching. Journal of Experimental Psychology: Human Perception and Performance, 27(4), 763–797. https://doi.org/10.1037/0096-1523.27.4.763
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68
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Give away bad for biz - free resources
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A psychologist told me to do a body scan. I was lying on hard yellow grass in 38-degree heat with three kids screaming inside and ants on my arms, trying to feel my body. I felt nothing. Or I felt everything and couldn't name any of it.
She concluded the problem was me.
It wasn't.
What We Cover
Free Resources
Energy Accounting Guide — mentioned in the episode. Helps you see your actual baseline and where the energy is going before you hit empty.
👉 https://adhdmums.com.au/product/adhd-mums-energy-accounting-guide/
ADHD Physical Health & Emotional Wellbeing Kit (Free)
👉 https://adhdmums.com.au/product/adhd-physical-health-emotional-wellbeing-kit/
Related Episodes
References
Edel, M.-A., Rudel, A., Hubert, C., Scheele, D., Brüne, M., Juckel, G., & Assion, H.-J. (2010). Alexithymia, emotion processing and social anxiety in adults with ADHD. European Journal of Medical Research, 15(9), 403–409. https://doi.org/10.1186/2047-783X-15-9-403
Fischer, D., Messner, M., & Pollatos, O. (2017). Improvement of interoceptive processes after an 8-week body scan intervention. Frontiers in Human Neuroscience, 11, 452. https://doi.org/10.3389/fnhum.2017.00452
Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1–26. https://doi.org/10.1080/1047840X.2014.940781
Quadt, L., Garfinkel, S. N., Mulcahy, J. S., Larsson, D. E. O., Silva, M., Jones, A.-M., Strauss, C., & Critchley, H. D. (2021). Interoceptive training to target anxiety in autistic adults (ADIE): A single-center, superiority randomized controlled trial. EClinicalMedicine, 39, 101042. https://doi.org/10.1016/j.eclinm.2021.101042
Shaw, P., Stringaris, A., Nigg, J., & Leibenluft, E. (2014). Emotion dysregulation in attention deficit hyperactivity disorder. American Journal of Psychiatry, 171(3), 276–293. https://doi.org/10.1176/appi.ajp.2013.13070966
Webb, T. L., Miles, E., & Sheeran, P. (2012). Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological Bulletin, 138(4), 775–808. https://doi.org/10.1037/a0027600
📬 Listener Questions & Community
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Send a WhatsApp voice or written on 0403 457 313
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The principal told you to contact region. Region told you to contact the principal. You're sitting in your car wondering if you're going quietly insane. You're not — and neither is the principal. The system is built to do exactly this, to everyone inside it. Sara Hocking is back to map a way out, and the news isn't what you think.
What We Cover
Free Resources
School Complaint & Escalation Guide: https://adhdmums.com.au/product/school-complaint-escalation-guide/
Quiet Exclusion Kit: https://adhdmums.com.au/product/quiet-exclusion-kit/
More from Sara
Sara Hocking runs See Beyond — neuroaffirming, nervous-system-informed resources for parents and schools, including free printables you can send straight to your child's teacher: https://seebeyondau.org/
Paid Resources
Making School Work — Parent Guide: https://adhdmums.com.au/product/making-school-work-parent-guide/
School Burnout — When School Can't Cope: https://adhdmums.com.au/product/adhd-school-burnout-when-school-cant-cope/
Related Episodes
📬 Listener Questions & Community
🎙️ Ask a Listener Question (voice)
Voice notes are preferred when possible — hearing your voice helps add context — but you’re very welcome to submit a written question instead.
Send a WhatsApp voice or written on 0403 457 313
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A friend came over the other day. She'd just done a week on the Sunshine Coast with her three kids, the whole pack-up by herself. We were sitting at my kitchen table doing that thing where you're laughing and crying at the same time. She couldn't get her kids to put the bins out because they were glued to their iPads. I said yep, same. The deeper problem isn't just the iPad. It's that someone pulled every single support structure out from under us, handed us a screen, and then put the guilt on top.
What We Cover
Free Resources
Surviving the Mental Load of the School Year: https://adhdmums.com.au/product/adhd-school-year-mental-load-kit/
Household Family Meeting Template: https://adhdmums.com.au/product/adhd-household-family-meeting-template/
Related Episodes
References & Further Reading
📬 Listener Questions & Community
🎙️ Ask a Listener Question (voice)
Voice notes are preferred when possible — hearing your voice helps add context — but you’re very welcome to submit a written question instead.
Send a WhatsApp voice or written on 0403 457 313
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I picked up the kids in my husband's car the other day. The youngest said something. The next one waited until they finished, then said something back. There was a pause. I turned around and looked at three kids not even fighting and thought, is this how pickup goes? In my car, it's on the second they get in. Someone's interrupting, someone's yelling, I'm turning the music up to drown them out, ready to throw myself onto the driveway while it's moving. Same kids. Same school. Different mum.
What We Cover
Related Episodes
References:
Bruton, M., Hall, S. S., & Pollock, M. (2025). Diminished interoceptive accuracy in attention-deficit/hyperactivity disorder: A systematic review. Psychophysiology, 62(2), e14750. https://doi.org/10.1111/psyp.14750
Edel, M.-A., Rudel, A., Hubert, C., Scheele, D., Brüne, M., Juckel, G., & Assion, H.-J. (2010). Alexithymia, emotion processing and social anxiety in adults with ADHD. European Journal of Medical Research, 15(9), 403–409. — Found 22% of ADHD adults met TAS-20 cutoff (≥61).
Donfrancesco, R., Di Trani, M., Gregori, P., Auguanno, G., Melegari, M. G., Zaninotto, S., & Luby, J. (2013). Attention-deficit hyperactivity disorder and alexithymia: A pilot study. ADHD Attention Deficit and Hyperactivity Disorders, 5(4), 361–367.
📬 Listener Questions & Community
🎙️ Ask a Listener Question (voice)
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Send a WhatsApp voice or written on 0403 457 313
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Mentioned in this episode:
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You're at the dinner table you fought to make happen. Your phone lights up — school app, swimming's been moved, the bag has to be packed tonight. You know in your bones that if you don't write it down right now, it's gone by morning. You pick up your phone. Your kid says, you said no phones at dinner, I'm getting my iPad then. The parenting advice has told you you've just damaged everyone. The research says you've just used the exact tool your brain needs.
What We Cover
Related Episodes
📬 Listener Questions & Community
🎙️ Ask a Listener Question (voice)
Voice notes are preferred when possible — hearing your voice helps add context — but you’re very welcome to submit a written question instead.
Send a WhatsApp voice or written on 0403 457 313
Send a SMS voice or written on 0403 457 313
👥 Join the ADHD Mums Facebook Group
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References
Risko, E. F., & Gilbert, S. J. (2016). Cognitive offloading. Trends in Cognitive Sciences, 20(9), 676–688. https://doi.org/10.1016/j.tics.2016.07.002
Alderson, R. M., Kasper, L. J., Hudec, K. L., & Patros, C. H. G. (2013). Attention-deficit/hyperactivity disorder (ADHD) and working memory in adults: A meta-analytic review. Neuropsychology, 27(3), 287–302. https://doi.org/10.1037/a0032371
Feldman, R. (2007). Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions. Journal of Child Psychology and Psychiatry, 48(3–4), 329–354. https://doi.org/10.1111/j.1469-7610.2006.01701.x
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Give away bad for biz - free resources
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Listener Question Episode: Bec drops the kids at school, the kitchen's a mess, and she can't let herself eat breakfast until it's clean. Loads the washing on too — wouldn't want to waste time. She finally sits down at 11am. She's wondering if it's an ADHD thing or if she's just weird. She's not weird. She's been trying the wrong strategy on the wrong problem for years.
What We Cover
Free Resources
Facebook Group — come tell me and join the fun: https://facebook.com/groups/adhdmumspodcast
Energy Accounting Guide — https://adhdmums.com.au/product/adhd-mums-energy-accounting-guide/
Breaking Free from Unhealthy Habits Kit — for the loops you can't seem to break: https://adhdmums.com.au/product/breaking-unhealthy-habits-adhd-mums-kit/
Paid Resource
ADHD Reset Workbook — Values, Energy & Planning: https://adhdmums.com.au/product/adhd-planner-and-values/
Related Episodes
📬 Listener Questions & Community
🎙️ Ask a Listener Question (voice)
Voice notes are preferred when possible — hearing your voice helps add context — but you’re very welcome to submit a written question instead.
Send a WhatsApp voice or written on 0403 457 313
Send a SMS voice or written on 0403 457 313
👥 Join the ADHD Mums Facebook Group
For community, shared language, and conversations with other mums who get it.
https://www.facebook.com/groups/adhdmumspodcast
References
Volkow et al. — Deficits in the brain's reward system in ADHD. https://www.sciencedaily.com/releases/2009/09/090908193432.htm
Furukawa et al. — Abnormal striatal BOLD responses to reward anticipation and reward delivery in ADHD. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935853/
Aarts et al. — Reward modulation of cognitive function in adult ADHD: the role of striatal dopamine. https://pubmed.ncbi.nlm.nih.gov/25485641/
Panagiotidi et al. — Altered somatosensory processing in adult ADHD. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323665/
Neurodivergent Insights — Sensory Overload in ADHD (cites Miller et al. 2017). https://neurodivergentinsights.com/sensory-overload-in-adhd/
Attachment Project — Unrelenting Standards / Hypercriticalness Schema. https://www.attachmentproject.com/early-maladaptive-schemas/unrealiting-standards/
Bay Area CBT Center — Unpacking the Unrelenting Standards Schema. https://bayareacbtcenter.com/unpacking-the-unrelenting-standards-schema/
IFS Institute — Internal Family Systems Model Outline. https://ifs-institute.com/resources/articles/internal-family-systems-model-outline
Positive Psychology — Internal Family Systems Therapy: 8 Worksheets and Exercises. https://positivepsychology.com/internal-family-systems-therapy/
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