Are you an autistic or ADHD woman struggling through perimenopause and feeling like your brain has stopped working? You're not imagining it. The intersection of autism, ADHD, and hormonal changes creates a perfect storm of cognitive challenges, sensory overwhelm, and daily functioning difficulties that neurotypical women don't experience. This comprehensive handbook provides the specialized guidance you need. Inside This Book, You'll Discover: Understanding Your Experience: How perimenopause affects autistic and ADHD brains differently Why executive dysfunction intensifies during hormonal transitions The connection between estrogen decline and sensory processing How brain fog, memory problems, and processing speed changes impact daily life Why emotions feel uncontrollable and overwhelming Medical Support and Treatment: Navigating hormone replacement therapy (HRT) with neurodivergent considerations Managing ADHD medications during hormonal fluctuations Finding autism-informed and ADHD-knowledgeable healthcare providers Understanding when symptoms require immediate professional help Advocating effectively for appropriate medical care Daily Living Strategies: Building morning and evening routines that compensate for executive dysfunction Using technology tools and automation to support failing memory Creating sensory-friendly environments at home and work Nutrition strategies that support brain health during perimenopause Exercise approaches that work for autistic and ADHD bodies Mental Health Support: Tracking symptoms across hormonal, ADHD, autistic, and mood categories Crisis prevention planning and knowing when to seek help Self-compassion practices for surviving difficult transitions Leveraging special interests and stimming as regulation tools Building supportive communities and finding appropriate therapy Workplace and Legal Accommodations: Understanding your rights under ADA and FMLA Requesting and implementing effective workplace accommodations Managing disclosure decisions at work Navigating medical leave when necessary Late Diagnosis Journey: Processing autism diagnosis received during perimenopause Reframing your life story with new understanding Managing the grief and relief of late diagnosis Building authentic autistic identity in midlife Post-Menopause Life: What to expect after perimenopause ends Maintaining accommodations and sustainable systems Redefining yourself and building meaningful life Hope for stability and improved functioning This Book Is For You If: You have autism, ADHD, or both (AuDHD) and are experiencing perimenopause You're struggling with worsening brain fog, memory problems, and cognitive difficulties Your executive function has deteriorated and daily tasks feel impossible Sensory sensitivities have intensified beyond your usual baseline You received late autism diagnosis during perimenopause You feel isolated and misunderstood by healthcare providers You need practical strategies, not just symptom descriptions What Makes This Handbook Different: Unlike general perimenopause books that ignore neurodivergence, this guide addresses the specific challenges facing autistic and ADHD women. You'll find detailed case examples, concrete strategies, and validation that your struggles are real and manageable.