When the wheels fall off: Menopause and autism / ADHD

In this episode, Catherine Asta is joined by Sophie Cartledge to explore the powerful intersection of perimenopause and late-discovered autism and ADHD.

Together they discuss why many autistic and ADHD women describe perimenopause as the point where ‘the wheels fell off’ and how hormonal shifts can amplify sensory sensitivities, emotional regulation challenges and burnout.

Late-discovered autistic and ADHD at 44, Sophie speaks openly about how this collision is one of the most misunderstood and unsupported phases of a woman’s life, often leading to burnout, misdiagnosis and workplace exclusion.

They reflect on the profound identity shift that can happen when decades of masking are no longer sustainable and how perimenopause can act as a catalyst for unmasking, self-advocacy and redefining what safety and wellbeing look like. The conversation also highlights gaps in healthcare and workplace understanding, the importance of tracking symptoms and the role of peer support in reducing isolation.

At the heart of this episode is a compassionate discussion about rebuilding self-trust, reframing needs as preferences and finding practical ways to navigate this often misunderstood stage of life. Sophie shares the mindset shifts and small accommodations that have helped her move towards a more sustainable, authentic way of living.

This episode is for you if:

- You’re navigating perimenopause/menopause and noticing changes in your sensory sensitivities, emotions and/or capacity.

- You’re late-discovered autistic or ADHD and experiencing unmasking or a shift in identity.

- You’re feeling dismissed, misunderstood or unsure how to advocate for yourself in healthcare or work.

- You’re looking for validation, practical strategies and reassurance that you’re not alone in this experience.

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