EPISODE · Jul 23, 2026 · 31 MIN
Why Menopause Sleep Isn't "Just Anxiety": Neurodivergent Women, Hormones, Misogyny and the Cost of Exhaustion
from Divergent Menopause (previously The Autistic Perimenopause)
What happens when menopause, neurodivergence and chronic sleep deprivation collide?In this live recording, Sam Galloway explores why menopausal insomnia is often dismissed as anxiety, how hormones affect sleep, why women carry so much invisible labour at night, and practical strategies that have helped her navigate surgical menopause. Topics include HRT, vaginal oestrogen, sleep apnoea, bladder health, executive dysfunction, neurodivergent sleep, pelvic floor physiotherapy, melatonin, Calm sleep stories and the importance of community.Resources mentionedMedical professionals:Dr Kelly Casperson on Substack - Vaginal Estrogen Show and Tell videoDr Megan Neff on SubstackBooks / Workbooks:Neurodivergent Sleep Workbook: Restoring Sleep for Busy and Sensitive Brains — Dr Megan NeffAssessment tools:MENO-D (Menopause Depression Rating Scale) Get full access to Divergent Menopause at samgallowayaudhd.substack.com/subscribe
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Why Menopause Sleep Isn't "Just Anxiety": Neurodivergent Women, Hormones, Misogyny and the Cost of Exhaustion
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