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:

• 🌐 Divergent Menopause community and newsletter
• 📖 MENO-D – A rating scale to detect depression in menopause
• 🌿 Australasian Menopause Society
• 📚 Autistic Menopause – A Guide to the Menopausal Transition for Autistic People and those Supporting Them by Dr. Rachel Moseley and Professor Gamble-Turner (2026)
• 📄 Resources for autistic (/neurodivergent) women and people with ovaries at menopause – Dr. Rachel Moseley and Professor Julie Gamble-Turner, Bournemouth University
• 📱 Balance – 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.

🌐 https://samgallowayaudhd.substack.com/

☕ Support Sam's work: https://buymeacoffee.com/samgalloway

Produced for the Autistic Culture Podcast Network.

🎧 Autistic Menopause is available on Spotify, Apple Podcasts, and all major platforms.

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