P. A. Serena Hemmer MSW LCSW

P. A.  Serena Hemmer MSW LCSW I have 20+ years of experience as a Licensed Clinical Social Worker.

I provide research-based, trauma-informed, holistic, and creative counseling and hypnotherapy in person at my Pinellas Park location or via telehealth appointments for adults in Florida.

02/17/2026

Do you know
the symptoms
of ADD/ADHD
differ between
women and

ADHD in women often presents as the inattentive type, characterized by internal chaos, anxiety, and overcompensation, whereas men typically exhibit more external, hyperactive, and impulsive behaviors. Women frequently "mask" their symptoms, appearing organized outwardly while struggling with, for example, chronic forgetfulness and emotional dysregulation.
Henry Ford Health
Henry Ford Health
+4
Key differences in ADHD symptoms between women and men include:
Inattention vs. Hyperactivity: Women are more likely to exhibit inattention (zoning out, daydreaming, losing items) rather than the physical hyperactivity (running, jumping, constant motion) more common in men.
Internalized Symptoms: Women often experience internal symptoms like low self-esteem, anxiety, depression, and overwhelm, whereas men often present with outward, disruptive behaviors.
Masking and Perfectionism: To meet social expectations, women often work harder to mask symptoms, leading to chronic fatigue, burnout, and late-in-life diagnosis.
Hormonal Impact: Women's symptoms are often exacerbated by hormonal fluctuations (menstrual cycle, pregnancy, menopause), which can cause drastic shifts in focus and mood.
Social Differences: While men might be described as "disruptive," women with ADHD are often mislabeled as "shy," "dreamy," or "lazy" in childhood.
The ADHD Centre
The ADHD Centre
+7
These differences often result in women being diagnosed much later in life, usually as adults, when they seek help for exhaustion and inability to keep up with daily life demands.

Resources:Department of Psychiatry & Behavioral Sciences
Duke Department of Psychiatry & Behavioral Sciences

With Joyful Mind – I just made it onto their weekly engagement list by being one of their top engagers 🎉
01/27/2026

With Joyful Mind – I just made it onto their weekly engagement list by being one of their top engagers 🎉

New profile pic. People will now see this photo on all my social media and websites and the back of my books, etc., etc.
01/25/2026

New profile pic. People will now see this photo on all my social media and websites and the back of my books, etc., etc.

Time to explore this?
01/25/2026

Time to explore this?

Boundaries are not rejection, they are protection of the soul God entrusted to you. That truth pulses through every chapter of Good Boundaries and Goodbyes by Lysa TerKeurst, and when you listen to the audiobook, her voice carries more than words, it carries lived pain, hard won wisdom, and deep compassion. This is not just a book about saying no. It is a sacred permission slip to love well without disappearing, to stay kind without staying broken, and to walk away without losing the tenderness that makes you who you are.

1. Boundaries are an act of love, not selfishness: One of the most healing reframes in this book is the realization that boundaries are not walls built out of anger, they are bridges built out of wisdom. Lysa challenges the idea that being loving means being endlessly available, endlessly patient, endlessly tolerant of harm. Through her storytelling and narration, you can hear the tension she once carried, the guilt of wanting space, the fear of disappointing others, and the spiritual confusion that came with it. She reminds us that God Himself sets boundaries, limits access, and protects what is sacred. Boundaries, in her voice, become a holy act, a way of saying I love you and I love the person God created me to be. Listening to her say this feels like exhaling after years of holding your breath.

2. Access to you should match responsibility toward you: Lysa introduces the powerful idea that not everyone deserves the same emotional access to your heart. In the audiobook, this lesson lands with special weight because you can hear her reflecting on relationships where she gave too much to people who handled her heart carelessly. She teaches that closeness should be earned through consistency, respect, honesty, and accountability. This is not about punishing people, it is about stewarding your emotional and spiritual wellbeing. Her tone carries both tenderness and clarity, as if she is saying, you do not have to keep handing your heart to someone who keeps breaking it.

3. Scripture should heal you, not trap you in harm: One of the most liberating parts of the book is her bold confrontation of misused Bible verses that pressure people to stay in unhealthy or unsafe relationships. Lysa speaks about how Scripture was sometimes weaponized against her to keep her silent, compliant, and enduring pain that God never intended. With theological depth and emotional honesty, she reclaims God’s Word as a source of freedom, not bo***ge. Listening to her explain this feels like spiritual detox, like removing heavy chains disguised as faith. She shows that God’s heart is for truth, safety, dignity, and healing, not for silent suffering.

4. Saying goodbye can be obedience, not failure: This lesson is soaked in emotion. Lysa does not romanticize goodbye, she mourns it, wrestles with it, and honors its pain. Yet she also reframes it as a brave act of obedience when a relationship shifts from difficult to destructive. In her narration, you can hear the grief of letting go and the relief of finally choosing peace. She reminds us that walking away does not mean you did not love enough, sometimes it means you loved wisely. Goodbye, in her telling, becomes not a symbol of quitting, but a declaration that your future matters, your safety matters, your calling matters.

5. Healthy communication requires both truth and grace: Throughout the book, Lysa offers practical scripts and strategies for setting boundaries with clarity and kindness. But beyond the techniques, there is a deeper emotional lesson, you are allowed to speak honestly without being cruel, and you do not have to stay silent to keep the peace. In the audiobook, her delivery feels like a coaching session wrapped in compassion. She teaches that boundaries are not just internal decisions, they are conversations, sometimes awkward, sometimes uncomfortable, but necessary for healthier patterns. Truth without grace wounds, grace without truth enables harm. She calls us to hold both.

6. Healing is possible without hardening your heart: Perhaps the most beautiful takeaway from this book is that you do not have to become bitter, cold, or emotionally closed to protect yourself. Lysa’s voice carries softness even when she speaks about betrayal, disappointment, and heartbreak. She shows that it is possible to grow wiser without growing mean, to become stronger without losing tenderness, to say no without losing compassion. The goal is not to build a hardened heart, it is to build a guarded heart that still beats with love, faith, and hope.

Book/Audiobook: https://amzn.to/3LycNe1

You can access the audiobook when you register on the Audible platform using the l!nk above.

Dr. Ramani is the go-to for information on Narcissistic tendencies!
12/04/2025

Dr. Ramani is the go-to for information on Narcissistic tendencies!

They show up with gifts you never asked for, favors you don’t need, and “help” that leaves you feeling guilty instead of grateful. On the surface it looks li...

I love all that is coming forward from neuroscience and neuropsychology.  Research is proving what many have known! Isn'...
11/17/2025

I love all that is coming forward from neuroscience and neuropsychology. Research is proving what many have known! Isn't that exciting?

The Neuroscience of How Exercise Rewires the Anxious Brain Anxiety is not just a psychological condition; it arises from specific patterns of neural activity, dysregulation of stress hormones, and alterations in brain connectivity. Research indicates that anxiety is linked to hyperactivity in partic...

Dr. Ramani is the expert in all things Narcissism!
09/16/2025

Dr. Ramani is the expert in all things Narcissism!

Is it emotional immaturity… or are they actually a narcissist? One feels annoying, childish, maybe even a little fun. The other feels like you’re losing your...

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