18/10/2025
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🌸 World Menopause Day 🌸
I’ve never been too keen on “World Days.”
Because most of the things we highlight once a year — menopause, mental health, autism, equality — should matter every single day.
But I can see the value in these days when they spark honest conversations and help others feel less alone.
So, on World Menopause Day, and as someone who is now five years post-menopause, I want to share a few reflections — especially around how menopause can feel very different for neurodivergent women.
Menopause hit me like a train.
One night I went to bed fine; the next I woke up achy, exhausted, emotional, and flooded with hot flushes, day and night. It stayed that way for years.
Let’s be honest: unless you have a truly understanding GP, you’re often left to navigate it on your own.
For autistic and neurodivergent women, the experience can be even more intense.
Our bodies and brains process change differently. Hormonal shifts can affect sensory regulation, emotions, executive function, and sleep — all things that are already finely balanced for many of us.
🌀 PMDD and hormonal sensitivity
Some women also experience PMDD (Premenstrual Dysphoric Disorder) — a severe form of PMS that can bring despair, exhaustion, anxiety, irritability, and mood crashes.
Research shows autistic women are more likely to experience PMDD than non-autistic women — around 14% vs 9% according to recent studies, though some surveys suggest it could be higher.
That feeling of falling apart” isn’t made up It’s hormonal, neurological, and very real.
And if you live with PMDD, you’re already predisposed to struggle more during menopause, as your body is particularly sensitive to hormonal fluctuations.
💫 Menopause and autism: a perfect storm
Emerging research tells us that autistic and ADHD women report:
More intense psychological and physical menopause symptoms
Increased sensory sensitivities during perimenopause
Amplified autistic traits (more overwhelm, emotional volatility, executive struggles)
Feeling dismissed or misunderstood by healthcare professionals
A 2024 study even described it as a “perfect storm” — the collision of hormonal chaos, life stress, and neurodivergent wiring.
Many women say that menopause made masking harder, emotions sharper, and recovery from stress slower. Some describe it as “losing the version of myself I used to be.”
🌿 What helps — and what I’ve learned
1. Track your symptoms.
Keep a journal or app — note your mood, sleep, energy, and sensory changes. It helps you notice patterns and advocate for yourself with doctors.
2. Ask for support and don’t downplay your needs.
If your GP doesn’t listen, ask to see another. Ask directly about HRT (Hormone Replacement Therapy) — it’s not for everyone, but for many women (including neurodivergent women) it can make a life-changing difference.
3. Make lifestyle changes that support balance.
A nutritious diet, regular gentle exercise, and stress-reducing practices such as breathing techniques, time in nature, or creative outlets can help stabilise mood and energy.
There’s a lot of conflicting information out there — so do your research, and if you feel something might help, speak to your doctor for proper advice and support.
4. Stay connected.
Menopause can feel isolating — especially when you’re already masking or managing sensory overload. Find spaces (online or in person) where you can share honestly and be believed.
5. Educate and advocate.
Share your story. Encourage open conversations in therapy rooms, workplaces, and friendship groups.
Menopause is a tough journey for any woman.
But for neurodivergent women, it can feel like stepping into uncharted territory — one where even your own body doesn’t play by the rules anymore.
The good news? It does settle.
And many of us come out the other side with a new sense of calm, clarity, and authenticity — often more ourselves than we’ve ever been.
Let’s keep talking about this — not just on World Menopause Day, but every day.
Because awareness only matters when it turns into understanding, compassion, and real change. ❤️
7🪷 For Counsellors
As counsellors, we have an important role to play in normalising conversations about menopause in the therapy room.
Many women — especially neurodivergent ones — are unsure whether what they’re experiencing is “normal,” or they’ve been dismissed when raising it elsewhere.
Simply asking gentle, open questions about energy, sleep, emotions, or bodily changes can make a world of difference.
When we invite menopause into the conversation, we help clients feel seen in both their emotional and physical realities — something therapy is uniquely placed to do.
Here are a few prompts that may help open that dialogue:
🌸 Exploring bodily and emotional changes
Have you noticed any changes in your energy, sleep, or mood lately?
How have these changes affected how you see yourself or relate to others?
Are there any physical symptoms you’ve been living with that impact your wellbeing day to day?
🌀 Hormones, emotions, and overwhelm
Do you notice times when you feel more emotionally raw or sensitive than usual?
How do hormonal shifts or your menstrual cycle (if still present) seem to affect you emotionally?
What happens for you when your body feels unpredictable?
🌿 Connection and self-care
What kinds of things (or moments) help you feel most grounded or soothed lately?
How do you currently look after your body and mind — and what feels harder to do these days?
What sort of rest or downtime actually restores you, rather than just “filling the time”?
🧭 Identity and transition
How do you feel about this stage of life and what it represents for you?
Are there ways in which you feel you’re changing — physically, emotionally, or in how you view yourself?
What helps you stay connected to the parts of yourself you value most?
💬 Opening space for menopause talk
We don’t often talk about menopause openly — would it feel helpful to include it in our conversations?
How supported do you feel in understanding what your body is going through right now?
If you’ve brought up menopause or hormonal changes before (with friends, family, or professionals), how was that received?
🌼 For neurodivergent women in particular
Do you notice any changes in sensory sensitivity, sleep, or emotional regulation at certain times?
How do these changes affect your routines or your sense of control?
What kind of environment or support feels most stabilising when you’re going through hormonal shifts?
Encouraging these conversations can help clients feel understood and validated at a time when many feel their experiences are dismissed.
Menopause isn’t just a medical event — it’s a deeply emotional, social, and sometimes identity-shifting transition.
And for neurodivergent women, that recognition can make all the difference. 💛
Image description:
A circular logo on the left shows a calm seaside scene with smooth pastel-coloured pebbles on sand, turquoise waves, and a pale sky. In the upper half of the circle, the text reads “Corinne Beuzelin” in a flowing handwritten font, with an infinity symbol beneath it. Below the waves, the words “Autism Counselling” appear in a soft teal, sans-serif font. To the right of the logo, bold teal text in capital letters reads “MENOPAUSE WORLD DAY.” The overall design feels clean, balanced, and soothing, with gentle beach tones and a minimalist white background.