Invisible ADHD, Women, and Directive Coaching with Shanna Pearson

Invisible ADHD, Women, and Directive Coaching with Shanna Pearson

Author: Primal Health Coach Institute March 24, 2026 Duration: 1:02:54

In this guest episode, Erin Power sits down with Shanna, founder of ADHD Coaching and author of Invisible ADHD, to unpack why ADHD in women is often missed, what it feels like to live undiagnosed, and what support can look like when coaching is built specifically for ADHD brains.

They talk about the emotional side of ADHD, decision paralysis, misdiagnosis, and why Shanna's coaching model is intentionally high-touch and directive: doing tasks together, practicing skills in real time, and using accountability to create momentum.

Episode Overview

0:00 Erin welcomes Shanna (ADHD Coaching)

0:16 Why Shanna was asked to write a book specifically for women

4:08 What it feels like to live with undiagnosed ADHD

6:47 Shanna's book title: Invisible ADHD

8:04 What "Invisible ADHD" means (symptoms + women going unnoticed)

9:28 Why assessments often miss women (male-centric traits)

9:52 Signs of ADHD in women: emotional overwhelm, paralysis, catastrophe thinking

10:19 The core concept: ADHD brains struggle to compartmentalize

13:02 The nuance: lifestyle distraction vs ADHD, and the "entire life" question

17:37 Decision-making struggles and second-guessing

18:54 Why Shanna rejects the "ADHD is a superpower" narrative

22:50 Why traditional client-led coaching models can fail ADHD clients

30:11 Hiring coaches: Shanna's company is always looking for great coaches

31:29 Directive coaching: "Sometimes people need to be told what to do"

38:57 Accountability as a non-negotiable support tool

50:11 To-do lists and overwhelm: "Keep it to 3 and you're free"

53:55 A transformation story: hosting family holidays after years of avoidance

1:01:36 Where to find Shanna + how coaches can apply

1:02:48 Closing (episode ends ~1:02:48)

Key Concepts in This Episode

Invisible ADHD in Women

Shanna explains that many women's ADHD symptoms are internal and emotional, which can keep them under the radar and lead to mislabeling as anxiety or depression.

Compartmentalization and Emotional Flooding

A key framework in the episode is the inability to compartmentalize, which can make emotions, tasks, and decisions feel like they all hit at once.

Decision Paralysis

Shanna describes how too many open "paths" in the mind can make it hard to choose, follow through, and feel settled after decisions.

Why ADHD Is Not a Superpower

Shanna challenges the trend of calling ADHD a superpower, arguing it can make people feel worse or delay them from learning practical management skills.

Directive, High-Touch Coaching

Instead of only asking insight-based questions, Shanna's coaching model focuses on real-time action: doing tasks together, role-playing conversations, and making plans that are individualized and highly supported.


Accountability and Skill Practice

Progress is built through repetition and simple weekly practice. Accountability is positioned as essential, not optional.

Keep It Simple

Tools like short to-do lists and habit "piggybacking" are discussed as practical ways to reduce overwhelm and increase follow-through.

Connect with Shanna

• Website: adhdcoaching.com

• Book: Invisible ADHD (Amazon & Audible)

Connect with Erin

• Submit your questions: podcast@primalhealthcoach.com

• Website: primalhealthcoach.com

• Instagram: @primalhealthcoach

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Tune in to Health Coach Radio for a straightforward look at what it really takes to build and sustain a career in this growing field. Hosted by master coach Erin Power and presented by the Primal Health Coach Institute, this podcast moves beyond theory to focus on the practical realities of running a coaching business. You’ll find conversations here that tackle the unspoken challenges-from client acquisition and pricing strategies to maintaining your own passion amidst the daily grind. Each episode features insights from experienced professionals who are actively shaping the wellness industry, offering listeners a blend of tactical advice and genuine inspiration. Whether you're just considering this path or are years into your practice, the discussions provide a valuable perspective on turning a calling into a viable livelihood. It’s a resource for anyone ready to think of their health coaching work not just as a craft, but as a sustainable enterprise. New conversations arrive every Tuesday, ready to meet you wherever you are in your professional journey.
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