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Autistic Menopause
My Autistic Menopause Story | How Autism Saved My Life
The opening episode of Autistic Menopause introduces the concept of autistic menopause. It explores why so many neurodivergent people may struggle to recognise the transition until they are already in crisis.
In this episode, Sam Galloway (she/her) shares the profoundly personal story of how perimenopause slowly dismantled the coping strategies she had relied upon her entire life.
From unexplained anxiety, insomnia, rage and cognitive changes to late diagnoses of autism and ADHD, Sam traces the path that eventually led her to understand what was really happening. She reflects on hormonal sensitivity throughout her life, the challenges of parenting while neurodivergent, and how recognising her autism ultimately helped her make sense of an experience that nearly broke her.
Content Warning: This episode includes frank discussion of mental health crisis and suicidal thoughts, alongside experiences of autistic burnout, medical care, and menopause. Please take care while listening and skip any sections that may be difficult for you.
Resources mentioned or relevant:
- ๐ Divergent Menopause community and newsletter
- ๐ MENO-D โ A rating scale to detect depression in menopause
- ๐ฟ Australasian Menopause Society
- ๐ Autistic Menopause โ A Guide to the Menopausal Transition for Autistic People and those Supporting Them by Dr. Rachel Moseley and Professor Gamble-Turner (2026)
- ๐ Resources for autistic (/neurodivergent) women and people with ovaries at menopause โ Dr. Rachel Moseley and Professor Julie Gamble-Turner, Bournemouth University
- ๐ฑ Balance โ menopause symptom tracking and information from menopause specialist Dr. Louise Newson
Continue the conversation:
Find Sam at Divergent Menopause for essays, research updates, practical reflections, and stories from the neurodivergent menopause community.
Every article is free to read. Paid subscriptions operate as a patron model and help fund the advocacy, research translation, and community work behind Divergent Menopause.
๐ https://samgallowayaudhd.substack.com/
โ Support Sam's work: https://buymeacoffee.com/samgalloway
Produced for the Autistic Culture Podcast Network.
๐ง Autistic Menopause is available on Spotify, Apple Podcasts, and all major platforms.
๐ Celebrate autistic voices with early access, ad-free listening, and our full archive at AutisticCulturePlus.com
๐ Visit www.autisticculturepodcastnetwork.com
๐ฒ Follow us on Instagram: @autisticculturepodcast
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2. The Autistic Brain in Menopause
41:50||Ep. 2What happens when the cognitive strengths you've relied upon your entire life suddenly stop working?In this episode, Sam Galloway (she/her) explores the neurological impact of menopause on the autistic brain. Through personal examples of memory loss, executive dysfunction, shutdowns, meltdowns, speech difficulties and skill regression, she examines how hormonal changes can amplify existing neurodivergent traits and create challenges that extend far beyond typical descriptions of brain fog.Sam discusses autistic burnout, involuntary unmasking, sensory overwhelm, loss of independence, and the fear that accompanies sudden changes in cognition and identity. She also shares some of the strategies, accommodations and treatments that have helped her navigate this difficult period.For many listeners, this episode may provide language for experiences that have previously felt impossible to explain.Content Warning: This episode includes frank discussion of mental health crisis and suicidal thoughts, alongside experiences of autistic burnout, medical care, and menopause. Please take care while listening and skip any sections that may be difficult for you.Resources mentioned or relevant:๐ How to Write an Autism Adapted Suicide Safety Plan โ A call to action in Autistic suicide prevention by Sam Galloway๐ Why PMDD Worsens During Neurodivergent Perimenopause Or: Stop the World, I Want to Get Off by Sam Galloway๐ International Association for Premenstrual Disorders (IAPMD)๐ Divergent Menopause community and newsletter๐ MENO-D โ A rating scale to detect depression in menopause๐ฟ Australasian Menopause Society๐ Autistic Menopause โ A Guide to the Menopausal Transition for Autistic People and those Supporting Them by Dr. Rachel Moseley and Professor Gamble-Turner (2026)๐ Resources for autistic (/neurodivergent) women and people with ovaries at menopause โ Dr. Rachel Moseley and Professor Julie Gamble-Turner, Bournemouth University๐ฑ Balance โ menopause symptom tracking and information from menopause specialist Dr. Louise NewsonContinue the conversation:Find Sam at Divergent Menopause for essays, research updates, practical reflections, and stories from the neurodivergent menopause community.Every article is free to read. Paid subscriptions operate as a patron model and help fund the advocacy, research translation, and community work behind Divergent Menopause.๐ https://samgallowayaudhd.substack.com/โ Support Sam's work: https://buymeacoffee.com/samgallowayProduced for the Autistic Culture Podcast Network.๐ง Autistic Menopause is available on Spotify, Apple Podcasts, and all major platforms.๐ Celebrate autistic voices with early access, ad-free listening, and our full archive at AutisticCulturePlus.com๐ Visit www.autisticculturepodcastnetwork.com๐ฒ Follow us on Instagram: @autisticculturepodcast
3. The Autistic Body in Menopause
46:58||Ep. 3Menopause affects far more than mood and cognition.In this episode, Sam Galloway (she/her) examines the profound physical impact of menopause on the neurodivergent body. From severe dry eye syndrome, sensory hypersensitivity and chronic pain to sleep disruption, premenstrual dysphoria disorder (PMDD), temperature dysregulation, bladder changes, fatigue and mobility challenges, she explores how hormonal changes can transform everyday life.Drawing on her own experiences, Sam discusses the complex relationship between menopause symptoms, sensory processing, trauma, chronic stress and autistic wellbeing. She also reflects on how physical changes can contribute to shrinking worlds, increased support needs and loss of identity.This episode highlights the importance of recognising physical symptoms that are often dismissed, minimised or incorrectly attributed to ageing alone.Content Warning: This episode includes frank discussion of mental health crisis and suicidal thoughts, alongside experiences of autistic burnout, medical care, and menopause. Please take care while listening and skip any sections that may be difficult for you.Resources mentioned or relevant:๐ The Mind-Blowing Symptoms of Perimenopause that will have your doctor dismissing your autistic intuition by Sam Galloway๐ Divergent Menopause community and newsletter๐ MENO-D โ A rating scale to detect depression in menopause๐ฟ Australasian Menopause Society๐ Autistic Menopause โ A Guide to the Menopausal Transition for Autistic People and those Supporting Them by Dr. Rachel Moseley and Professor Gamble-Turner (2026)๐ Resources for autistic (/neurodivergent) women and people with ovaries at menopause โ Dr. Rachel Moseley and Professor Julie Gamble-Turner, Bournemouth University๐ฑ Balance โ menopause symptom tracking and information from menopause specialist Dr. Louise NewsonContinue the conversation:Find Sam at Divergent Menopause for essays, research updates, practical reflections, and stories from the neurodivergent menopause community.Every article is free to read. Paid subscriptions operate as a patron model and help fund the advocacy, research translation, and community work behind Divergent Menopause.๐ https://samgallowayaudhd.substack.com/โ Support Sam's work: https://buymeacoffee.com/samgallowayProduced for the Autistic Culture Podcast Network.๐ง Autistic Menopause is available on Spotify, Apple Podcasts, and all major platforms.๐ Celebrate autistic voices with early access, ad-free listening, and our full archive at AutisticCulturePlus.com๐ Visit www.autisticculturepodcastnetwork.com๐ฒ Follow us on Instagram: @autisticculturepodcast
4. Surviving Autistic Menopause
45:48||Ep. 4Autistic people are often told that independence is the goal. But what happens when menopause changes what you can do, what you can tolerate, and how much support you need?In this episode, Sam Galloway (she/her) explores the reality of changing support needs during autistic menopause. Drawing on her own experiences of severe perimenopause, cognitive regression, chronic pain, medical gaslighting, suicidal ideation, and surgical menopause, she examines what happens when lifelong coping strategies stop working.Sam discusses the barriers that prevent autistic adults from seeking support, including masking, internalised ableism, trauma, and societal expectations around independence. She also shares the practical accommodations, medical interventions, community supports, and mindset shifts that helped her survive one of the most difficult periods of her life.This episode is a reminder that support is not failure, accommodation is not cheating, and quality of life matters at every age.Content Warning: This episode includes frank discussion of mental health crisis and suicidal thoughts, alongside experiences of autistic burnout, medical care, chronic pain, and menopause. Please take care while listening and skip any sections that may be difficult for you.Resources mentioned or relevant:๐ Canadian Occupational Performance Measure (COPM)๐ Divergent Menopause community and newsletter๐ MENO-D โ A rating scale to detect depression in menopause๐ฟ Australasian Menopause Society๐ Autistic Menopause โ A Guide to the Menopausal Transition for Autistic People and those Supporting Them by Dr. Rachel Moseley and Professor Gamble-Turner (2026)๐ Resources for autistic (/neurodivergent) women and people with ovaries at menopause โ Dr. Rachel Moseley and Professor Julie Gamble-Turner, Bournemouth University๐ฑ Balance โ menopause symptom tracking and information from menopause specialist Dr. Louise NewsonContinue the conversation:Find Sam at Divergent Menopause for essays, research updates, practical reflections, and stories from the neurodivergent menopause community.Every article is free to read. Paid subscriptions operate as a patron model and help fund the advocacy, research translation, and community work behind Divergent Menopause.๐ https://samgallowayaudhd.substack.com/โ Support Sam's work: https://buymeacoffee.com/samgallowayProduced for the Autistic Culture Podcast Network.๐ง Autistic Menopause is available on Spotify, Apple Podcasts, and all major platforms.๐ Celebrate autistic voices with early access, ad-free listening, and our full archive at AutisticCulturePlus.com๐ Visit www.autisticculturepodcastnetwork.com๐ฒ Follow us on Instagram: @autisticculturepodcast
Trailer: Welcome to Autistic Menopause
01:04|What happens when autism, ADHD, and menopause collide?In this trailer, discover Autistic Menopause a podcast exploring the realities of neurodivergent menopause through lived experience, emerging research, and honest conversation. Hosted by Sam Galloway, the series examines the cognitive changes, sensory overwhelm, burnout, and shifting support needs that can accompany this often-overlooked stage of life, while reminding listeners that they are not alone.Produced for the Autistic Culture Podcast Network.๐ง Autistic Menopause is available on Spotify, Apple Podcasts, and all major platforms.๐ Celebrate autistic voices with early access, ad-free listening, and our full archive at AutisticCulturePlus.com๐ Visit www.autisticculturepodcastnetwork.com๐ฒ Follow us on Instagram: @autisticculturepodcast