Perimenopause can feel like the body has changed the rules without warning. Sleep becomes lighter. Emotions arrive faster. Heat rises at odd times. Focus slips. Sensory tolerance shrinks. For people with ADHD or Autism, these shifts can land on an already sensitive nervous system and make daily life feel harder to manage. This article looks at the overlap between perimenopause, ADHD, and Autism through the lens of Traditional Chinese Medicine, or TCM. It offers practical idea