ADHD Treatment for Women During Pregnancy, Postpartum, Perimenopause and Menopause
Virtual ADHD Therapy with Victoria Prisco, LPC | Serving PA, VA, FL, AZ, ID, NV
If you’re a woman living with ADHD, you’ve probably noticed your symptoms don’t stay the same throughout your life. Shifts in estrogen levels—during pregnancy, postpartum recovery, perimenopause and menopause—can cause significant changes in how ADHD presents.
I’m Victoria Prisco, a licensed professional counselor and ADHD Specialist. I offer virtual therapy for women in Pennsylvania, Virginia, Florida, Arizona, Idaho, and Nevada, helping you manage ADHD through every stage of hormonal change with mindful, science-backed support.
Hormonal Shifts Can Exacerbate ADHD Symptoms in Women—Let’s Adjust Your Care Accordingly

How Hormonal Changes Impact ADHD in Women
Hormonal fluctuations have a major impact on ADHD symptoms in women—especially during pregnancy, postpartum, perimenopause, and menopause. These life stages affect estrogen levels, which in turn influence dopamine and norepinephrine—key neurotransmitters responsible for focus, motivation, and emotional regulation.
🔄 ADHD During Pregnancy
Estrogen levels rise during pregnancy, which may temporarily improve focus and reduce impulsivity. But for many women, the exhaustion, sleep disruptions, and stress of pregnancy can worsen brain fog, forgetfulness, and emotional overwhelm.
🍼 ADHD After Birth (Postpartum)
After childbirth, estrogen drops sharply. This hormonal crash often intensifies ADHD symptoms like disorganization, emotional reactivity, low frustration tolerance, and time blindness. Postpartum ADHD struggles are frequently misunderstood as typical “mom fatigue” or even mistaken for postpartum depression.
🔥 ADHD in Perimenopause
Perimenopause, the transition to menopause, brings fluctuating estrogen levels that can cause increased distractibility, mood swings, anxiety, and brain fog. Even women who previously managed ADHD well may suddenly feel overwhelmed, irritable, or unable to focus.
🌙 ADHD in Menopause
During menopause, estrogen levels decline and stay consistently low. This drop can worsen executive dysfunction, memory issues, and motivation struggles. Many women report feeling like their ADHD symptoms have “returned” or intensified, even if they were stable for years. This is a critical time to reassess treatment strategies and emotional support.
Specialized ADHD Therapy for Women – Tailored to Your Hormonal Phase
I offer ADHD therapy that considers both your neurobiology and your hormonal cycle. No one-size-fits-all approach here—just personalized support that meets your real-life needs.
My Approach Includes:
💡 ADHD education on how hormones impact executive functioning
⚖️ Adjustments to routines, expectations, and tools based on your current life stage
🧠 Review of ADHD medications in collaboration with your prescriber, if needed
🛠️ Tools for emotional regulation, task initiation, and self-compassion
🙅♀️ Strategies to combat shame, mom guilt, and burnout
You deserve more than generalized mental health advice. You deserve care that understands ADHD in women—because our brains are wired differently, and our needs change throughout life.


Why Work with Victoria Prisco for ADHD Therapy?
I’m not just a therapist—I’m a licensed professional counselor, a certified ADHD Specialist, and a Project Management Professional with a Master’s degree in Special Education. I bring a unique blend of therapeutic insight, learning science, and systems thinking to every session.
I specialize in helping women navigate the complex intersection of ADHD and hormonal transitions—including pregnancy, postpartum, perimenopause, and menopause. When it feels like the rug is being pulled out from under you, we’ll create personalized systems that help you regain stability, focus, and control.
My sessions are tailored to integrate:
🧠 Therapy to address emotional regulation and people-pleasing behavior
📚 Educational strategies to help you better understand your brain and what it needs
📊 Data-informed systems to track patterns, improve function, and adapt routines that actually work
Together, we’ll take an honest look at what’s been working for you—and what needs to evolve—so you can stop feeling like you’re constantly falling behind. Whether you’re dealing with motivation issues, burnout, or shifting cognitive capacity, we’ll build a plan that supports the real you.
Start working with a provider who understands how ADHD and hormones interact.


- Master’s of Arts, Creative Arts Therapy
- Master’s of Education, Special Education
- Currently working on PhD
- Licensed Professional Counselor in PA, NV, VA and AZ
- Licensed Mental Health Therapist in FL
- Licensed Creative Arts Therapist in NY
- Internationally registered advanced addiction Therapist














- ADHD Certified Professional (ADHD-CCSP)
- Certified Advanced Addiction Counselor (CAADC)
- Certified Integrative Mental Health Professional (CIMHP)
- Narcissistic Relationships, Emotional Abuse & Gaslighting: Treating and Empowering Survivors of Relational Trauma
- Project Management Professional (PMP)
Lucia Bishop2025-03-31Trustindex verifies that the original source of the review is Google. Victoria is a very understanding and encouraging therapist. Her enthusiasm really has the ability to shift my mind set. If I start the session feeling down and discouraged, she helps me see the positives and gives me the small steps I can take to focus on being self encouraging. Victoria is a wonderful therapist, she’s extremely helpful and always so positive and supportive. Adrienne Armstrong2025-03-28Trustindex verifies that the original source of the review is Google. My son has participated in the social skills Minecraft group for a few sessions and I recommend it to everyone! Real time application of skills and support is phenomenal. Mrs Victoria is so kind and engaging for updates. Such amazing support as we've navigated a difficult social time. He looks forward to it weekly! Jeanne Barrett Ortiz2025-03-28Trustindex verifies that the original source of the review is Google. I have worked with Victoria for a year. She is an excellent listener, focuses on you and your goals, and is positive. She has offered useful tools and resources tailored to my needs. I look forward to our visits and I highly recommend her. Chris Palandro2025-03-28Trustindex verifies that the original source of the review is Google. I've been seeing Victoria for about a year now and have had a really positive experience. She comes to every session with a positive, supportive, and solutions oriented approach. I always leave feeling like I've gained valuable insights that I'm ready to put into action. Highly recommend working with Victoria and Level up Wellness! Jessica Manlove2025-03-27Trustindex verifies that the original source of the review is Google. Victoria has been a valuable member of my care team and has enabled me to safely explore my behavior, habits, and mental health. She's provided an objective perspective and has helped me identify actionable things I can do to improve my wellbeing. I highly recommend her! Bryan Shabroski2025-03-27Trustindex verifies that the original source of the review is Google. After just around a month of sessions with Victoria, I have greatly enhanced my mental health and found positive methods to improve my life. Julia Sieveking2025-03-27Trustindex verifies that the original source of the review is Google. Victoria has been an amazing counselor and I am beyond happy to have found her! Not only can she provide me with many practical tools to cope with ADHD, she is also very empathetic and experienced. I highly recommend her!! Katie Cannon2025-03-27Trustindex verifies that the original source of the review is Google. I truly thought I was hopelessly broken before I started working with Victoria. At the beginning I even told her, "Yeah this is not going to work." Working with someone who specializes in ADHD has made all the difference. I thought I just had to white knuckle through life, but she gave me the tools to rewire my brain and build a life that works for me.. I genuinely did not think this level of freedom was possible. She's incredibly creative and adaptive in her approach. Something else that has been difficult for me in the past is finding a therapist who can stick to a treatment plan and a goal. She keeps me on task and I can see measurable progress- that is very motivating! It hasn't been easy, but I have seen real change in my life that I have not seen before. Tom Ferry2025-03-27Trustindex verifies that the original source of the review is Google. Victoria is amazing. Always leads with kindness and is so helpful. Would 100% recommend her. Ellen Schiffman2025-03-25Trustindex verifies that the original source of the review is Google. Victoria has been a supportive and welcome trusted advisor in my life. She is warm and a wonderful listener and has helped in so many ways!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more