ADHD and AUTISM
ADHD and AUTISM: How hormones impact symptoms in females

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Sanctum
At Sanctum, we advocate for a gender-sensitive approach to diagnosis and treatment.
ADHD in females often remains undetected, leading to significant impacts. Their symptoms, more internalised than males, challenge daily life and mental health.
ADHD and Autism
How women present differently in ADHD and Autism
Less visible, internalised behaviours, such as inattention, emotional dysregulation, and a quieter form of hyperactivity. Often display certain characteristics that can differ from the typical presentations seen in males.
Social Challenges
Feel alienated and struggle with social interactions, leading to difficulties in forming and maintaining friendships.
Emotional regulation
Emotional symptoms include uncontrolled anger, mood swings, sensitivity to perceived criticism and difficulty managing emotions.
Sensory difficulties
Adult females with ASD report higher sensory sensitivities
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How hormones impact women with ADHD
Advanced precision assessments for ADHD and ASD

Oestrogen and Dopamine
Oestrogen is the female sex hormone. It also manages neurotransmitters in the brain, including dopamine, which is central to executive functioning & ADHD; serotonin (mood) and acetylcholine (memory). Fluctuations in oestrogen affect all women but are often felt more acutely in women with ADHD.

When oestrogen levels drop
Debilitating challenges during the marked hormonal shifts of puberty, pregnancy, postpartum (the time after childbirth), perimenopause and menopause. In the 7-10 days before the period is due, ADHD symptoms worsen. ADHD symptoms often unleash at the time of menopause.

Symptoms of ADHD get worse
Distractibility, attentional difficulties, difficulty sleeping, overthinking, impulsivity, irritability, increasingly sensitive, emotional challenges, trying to self sooth using food, shopping, alcohol or even drugs like cannabis. There is often impact on work, studying, relationships and social connections.
Female ADHD and Autism assessments
Sanctum have curated our female pathway based on the latest research and scientific evidence
What happens in your assessment?
Step 1 - Complete Assessment Forms
Prior to your reviews, you’ll complete a series of comprehensive online health assessment forms so we can tailor the assessment to your needs.
This will include:
Self reports, observer feedback, performance testing, completing validated psychometric assessment tools and also assessment tools to assess your physical and hormonal health.
Get In TouchStep 2- Appointments with specialists
A review of your health assessment and symptoms. This is a crucial time to share your thoughts, concerns and experiences with ADHD or autism symptoms to help build any additional steps and follow-ups that may be required.
We will break down the process to make it easier for you in 2-3 stages. We will conduct diagnostic interviews, feedback of results and next steps discussion.
Get In TouchStep 3 - Next steps and follow ups
The next steps are an important part of the journey. Your specialist review will uncover options that will help you understand your underlying challenges and empower you to make an informed choice regarding your next steps.
This could include:
Hormonal testing, Cycle tracking, Trial of medication, Psychoeducation, Support groups, Health coaching.
Female Adult ADHD Assessment Package (18+)
£1325
- Full ADHD Assessment
- Autism screening
- Female Specific
- Payment plan available at £442 x 3 interest-free payments
Female Adult Autism Assessment Package (18+)
£1325
- Full ASD Assessment
- ADHD Screening
- Female Specific
- Payment plan available at £442 x 3 interest-free payments
Female Adult ADHD and Autism Assessment Package (18+)
£1980
- Full ADHD + ASD Assessment
- Most comprehensive approach
- Female Specific
- Payment plan available at £660 x 3 interest-free payments
Adolescent female ADHD
£1735
- Full ADHD Assessment
- Autism screening
- Female Specific
- Payment plan available at £578 x 3 interest-free payments
Adolescent Female Autism
£1735
- Full ASD Assessment
- ADHD Screening
- Female Specific
- Payment plan available at £578 x 3 interest-free payments
Adolescent Female Autism and ADHD
£2745
- Full ADHD + ASD Assessment
- Most comprehensive approach
- Female specific
- Payment plan available at £915 x 3 interest-free payments
Why choose Sanctum?
We have one of the most comprehensive 360 degree approach to assessment, using multiple sources of evidence, leaving no stone unturned, to ensure diagnostic accuracy.
Our agenda- quality led by passion
Sanctum has been established since 2019 and is led by our founder Dr Raffi who has experience spanning over 2 decades. Neurodiversity isn't just a job for us, it's our passion.
Our approach
We don't just give you the answer, we don't just show you the working out, we educate you so that you are empowered to manage yourself in the longer term and aren't reliant on services.
When we say we understand, we mean it!
We have read every book and piece of research and have years of clinical experience, but what gives us the true badge of expert is being neurodiverse ourselves or as parents of neurodiverse children.
I cannot thank Sanctum enough! The whole process was Professionally carried out from my first enquiry to my diagnosis. The team were informative and guided myself and my partner in a sensitive and understanding manner throughout the whole process.

Audrey Eastwood
It took less than 30 days for a diagnosis, without this and the treatment received I have no idea where we would be now. I would highly recommend, all the staff are lovely and truly helped us. Thank you all so much.

Sally Brett
Sanctum healthcare have been exceptional in the service and care provided, they are professional, friendly, knowledgeable and most importantly understanding. They went above and beyond to ensure I felt heard, the diagnosis process was extremely thorough, and I was offered a clear treatment plan.

Becky Ash
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