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Understanding meltdowns in neurodiverse women and girls

Meltdowns are an intense, involuntary reaction to overwhelming stress. For neurodiverse women and girls, particularly those with conditions like autism or ADHD, meltdowns can be a frequent and misunderstood part of their lives. Unlike a tantrum, which is often a willful act to gain something, a meltdown is a loss of control triggered by an overloaded nervous system.

What Triggers a Meltdown?

Meltdowns in neurodiverse women and girls are often triggered by an accumulation of sensory, social, and emotional overload. This “stacking” of stressors can make a seemingly small event the breaking point. Common triggers include:

  • Sensory Overload: Too much noise, bright lights, strong smells, or uncomfortable textures.
  • Social Overload: The stress of navigating social situations, understanding unwritten rules, or masking to appear “normal.”
  • Emotional Dysregulation: Difficulty processing and managing strong emotions like frustration, anxiety, or sadness.
  • Unexpected Changes: A sudden change in routine or a last-minute plan can be deeply unsettling.

The “Meltdown” Experience

A meltdown isn’t just a brief moment of anger. It’s a spectrum of responses that can look different from person to person. For many neurodiverse women and girls, meltdowns can be internalised. Instead of a loud, external display, a meltdown might manifest as:

  • Shutdowns: A complete withdrawal from the situation, becoming non-verbal, and “zoning out.”
  • Internal Panic: Intense anxiety, racing thoughts, and a feeling of being trapped.
  • Physical Symptoms: Stomachaches, headaches, or extreme fatigue.

External meltdowns, while less common in adult neurodiverse women, can still occur and may involve crying, lashing out, or screaming.

How to Help

Understanding that a meltdown is a stress response—not a choice—is the first step. If you’re supporting a neurodiverse woman or girl, here’s how you can help:

  • Create a Safe Space: Offer a quiet, low-sensory environment where she can decompress.
  • Validate Her Feelings: Acknowledge her distress without judgment. Saying, “I can see this is really hard for you,” can be incredibly validating.
  • Offer Space and Time: Give her room to calm down without demanding an immediate explanation.
  • Avoid Demands: Don’t ask questions or make requests during a meltdown. The goal is to reduce, not increase, the mental load.

Meltdowns are a sign that a person’s system has reached its limit. By recognising the signs and offering compassionate support, we can create a more understanding and accommodating environment for neurodiverse women and girls.

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