Menopause, ADHD and autism in midlife: why so many women feel like they’re losing themselves

I recently read an article about the growing mental health crisis affecting Gen X women, and it really stayed with me. Not because it was shocking, but because it felt familiar. It captured something many women are experiencing quietly. That sense of feeling unlike yourself, things feeling harder than they used to, wondering where your capacity has gone.

 

And it can feel deeply personal when you’re in it. But when you step back and look at the bigger picture, it starts to make a different kind of sense.

 

Midlife brings a lot into focus all at once

 

Hormones are shifting in ways we were never fully prepared for. Parents may need more support. Children still need us, just in different ways. Work, relationships and identity are all asking for attention at the same time.

 

There’s a constant holding of things. Practical, emotional, mental. And many women are doing this without much space to pause or recalibrate.

 

What often isn’t spoken about enough is the impact menopause can have on mental health

 

Anxiety can show up in ways that feel unfamiliar. Mood can dip and stay low. Sleep disruption starts to take its toll. Brain fog can knock confidence, especially in spaces where you’ve always felt capable.

 

Without understanding what’s happening, it’s very easy to internalise it, to assume it’s something about you. But this is your body going through a significant hormonal shift, while your life continues to ask a lot from you.

 

There’s another layer here that’s becoming more visible for many Gen X women

 

Neurodivergence. So many women are recognising, often for the first time, that they have ADHD, are autistic, or both. There’s a quiet realisation that the way they’ve navigated the world has involved a lot of adaptation, masking and effort behind the scenes.

 

Midlife has a way of bringing that into awareness. Hormonal changes can affect focus, emotional regulation, sensory processing and overall capacity. Things that once felt manageable can start to feel heavier. The effort required to keep everything going increases. And again, it’s easy to interpret that as something going wrong.

 

But there’s another way to understand it. The systems you’ve been relying on are asking to be updated.

 

This stage of life can reveal just how much you’ve been carrying

 

The over-responsibility, constant doing and quiet pushing through. Not as a judgement, but as an awareness. Because once you can see it, you can begin to question it.

 

Many Gen X women were raised with the message to cope, to manage, to keep going

 

So even when things feel hard, there can be a tendency to minimise it. To carry on without really acknowledging the impact it’s having. But this phase of life calls for something different. It asks for more awareness of your energy, more honesty about your needs and a greater willingness to adjust the way things are done.

 

And there’s something else that matters here: connection.

 

When these experiences stay unspoken, it’s easy to feel isolated in them. To believe you’re the only one finding it hard. When they’re shared, something shifts. There’s recognition, understanding and a sense of being less alone in it all. And that matters, especially for neurodivergent women who may already feel different in ways that haven’t always been easy to explain.

 

If any of this feels familiar, I want to gently offer this. Nothing about what you’re experiencing is random. Your body is changing, your brain is responding and your life is full.

 

It makes sense that you might need something different now – more support, space and care. Not as a luxury, but as something essential.

 

You’re not losing yourself – You’re becoming more aware of what you need to feel well, supported, and able to move through this stage of life in a way that actually works for you. And that awareness is something to be listened to, not pushed aside.

Illustration by Muhammad Afandi on Unsplash

Illustration by Muhammad Afandi on Unsplash