What if your productivity no longer defines you? That question anchors a candid conversation with Tracy Otsuka—host of the ADHD for Smart Ass Women podcast and author of the best-selling book ADHD for Smart Ass Women: How to Fall in Love with Your Neurodivergent Brain.

We talk about how midlife hormones collide with ADHD traits and force us to reshape identity. As estrogen fluctuates through perimenopause and menopause, dopamine signaling gets shakier, and the classic ADHD pain points—working memory, sequencing, and emotional regulation—can suddenly intensify. Tracy explains why even high-achieving women can feel their confidence slip, how a “brain of interest” thrives only in the right environment, and why she reframes ADHD as an identity issue rather than a productivity flaw.

Tracy also shares the personal story that changed everything: her son’s diagnosis, the schools that missed his brilliance, and the decision to build spaces where curiosity is an asset, not a problem. From bold career pivots to building an approach that maps values, strengths, and passions into a clear purpose “sweet spot,” she shows how alignment restores executive function and self-trust. Along the way, we challenge disorder-first narratives, hold space for the seriousness of suicide risk and depression, and return to hope as a skill—tested through small actions, anchored by purpose, and protected by boundaries.

If you’re navigating midlife, exploring ADHD traits, or simply craving a more truthful way to measure your days, this conversation offers both science and strategy. If it resonates, share it with someone who needs to hear it, and subscribe to support more honest, hopeful stories.

Music composed and performed by guitarist, JD Cullum

Edited by Brandon Moran

Sponsored by Soar With Tapping