Exploring the overlap between migraine, sensory processing, and neurodivergence—including ADHD, autism, anxiety, and depression.
When Migraine Meets a Non-Neurotypical Brain
For most of my life, I’ve lived at the intersection of migraine and a brain that doesn’t quite fit the mold of “neurotypical.”
Migraine is often described as a neurological disease—but at its core, it’s also a disorder of sensory processing. Light, sound, smell, touch… the very things meant to help us experience the world can become overwhelming, distorted, and painful.
Now layer that onto a brain that is already wired differently.
Neurodiversity is the natural variation in how human brains function. No two brains are the same—we each have different strengths, challenges, and ways of processing the world. Within that spectrum are people who are neurodivergent: individuals whose cognitive functioning falls outside what society labels as “typical.”
And here’s what often gets overlooked: neurodivergence isn’t separate from who you are—it’s an essential part of you.
So what happens when migraine enters that picture?
Many forms of neurodivergence share a common thread: differences in sensory processing. Sensitivity to light. Sound. Touch. Pain. The nervous system doesn’t just receive input—it can amplify it, misinterpret it, or struggle to regulate it.
For someone with migraine, those same sensory triggers can already set off an attack. But for those of us who are also neurodivergent, the experience can feel intensified, prolonged, and harder to recover from.
It’s not just a headache.
It’s a full-body, full-brain experience of overload.
I live with depression, anxiety, and AuDHD (autism spectrum disorder and ADHD)—and I’ve often wondered how much these overlapping conditions shape my migraine experience. There are also pieces of my story, like suspected dyscalculia, that I’m still learning to understand.
What I do know is this: my brain doesn’t process the world in a typical way. And when migraine enters the mix, it doesn’t just disrupt my day—it disrupts an already complex system trying to make sense of sensory input.
What It Actually Feels Like
There are moments when it’s not just pain—it’s too much everything.
The light is too bright, even when it’s dim.
Sounds don’t just feel loud—they feel sharp, intrusive, impossible to ignore.
My clothes feel wrong against my skin.
My thoughts scatter in ten directions at once, while my body is begging for stillness.
And then the migraine hits.
Or maybe it was already there, quietly building.
It becomes hard to tell where the sensory overload ends and the migraine begins.
People see me cancel plans.
They see me retreat to a dark room.
They see me go quiet.
What they don’t see is the internal negotiation—trying to regulate my environment, emotions, body, and pain all at once.
Trying to function in a world that wasn’t designed for the way my brain processes it.
If This Is You, You’re Not “Too Sensitive”
If you live with migraine and you’re neurodivergent—or suspect you might be—you may have questioned yourself.
Why does everything feel so intense?
Why does it take me longer to recover?
Why can’t I just push through?
You are not too sensitive.
Your brain is not broken.
And your experience is not an exaggeration.
When sensory processing differences and migraine coexist, they don’t just add up—they interact. They amplify. They complicate each other.
And just because it isn’t fully understood doesn’t mean it isn’t real.
The Gap We Don’t Talk About Enough
Migraine commonly overlaps with depression, anxiety, ADHD, PTSD, OCD, and more. But our care is often fragmented.
A neurologist or headache specialist for migraine.
A therapist for mental health.
A separate evaluation—if we can access it—for neurodivergence.
But very few conversations center what it’s like to live with all of these at once.
Very few treatment plans account for sensory overload as both a trigger and a baseline state.
Very few providers ask:
How does your brain experience the world—and how might that shape your migraine?
When care isn’t connected, patients are left to do the connecting themselves.
And that’s a heavy burden to carry.
Where I’m Landing (For Now)
I’m still learning my brain.
Still unmasking.
Still figuring out what support actually looks like for me.
But I know this:
Migraine doesn’t exist in isolation.
Neither does neurodivergence.
And if we want better care and understanding, we have to start talking about where they intersect—not just clinically, but personally.
Because for those of us living it, this isn’t theoretical.
It’s daily life.
If this resonates with you, you’re not alone—and you don’t have to navigate this intersection in silence.
I’d love to hear your experience.
Do you live with migraine and identify as neurodivergent?
Have you noticed how sensory overload impacts your attacks or recovery?
Share in the comments or send me a message. Your story matters—and the more we talk about this, the more we push for care that actually sees the whole person.
And if this is something you’re still figuring out, that’s okay too. There’s space for you here.

Oh my goodness this has been the post, the piece of writing that I have been looking for. All of this. I’m a late diagnosed AuDHD woman (55) that crashed and burnt out spectacularly from migraines that became chronic, undiagnosed Autistic burnout (profound, bed bound, mute, and now trying to recover some threads of normality). Forced to retire early (anaesthesiologist) - a lifetime of hypervigilance, high performance, huge sensory input that ended up bringing me to my knees. No one could put it together, as you’ve so accurately described, the specialities are so siloed.,I was eventually able to work out what was happening, but at this point the central sensitisation, the sensory sensitivities, the unrelenting fatigue and dysfunction has been devastating. I am the manager of my illness, I research and bring the information to my doctors, I have engaged with every possible biopsychosocial and neurobiological lever. And the achingly slow progress, coupled with the load of managing and engaging in treatments- not to mention the financial cost has been such a difficult period of time (understatement). Very few people/health care people can speak to the intersection of Autistic burnout, central sensitisation, migraines, and sensory sensitivity- and so the burden of care falls on us as the patient to coordinate and advocate. I’m extremely lucky I have medical literacy and financial resources but it still has been shockingly difficult to engage and get the type of management that’s required. I still remain bewildered about how even as a specialist and fellow colleague that I have been gaslighted, and harmed by a number of practitioners within the medical system. That trauma has only added to the disability of this combination of conditions. Thank you for bringing awareness to this. Now I’m going to purchase your book 🙏🙏🙏🙏
ReplyDeleteThank you so much for sharing this with me. I’m truly honored that the piece resonated with you in this way.
DeleteWhat you described—the intersection of autistic burnout, central sensitization, migraine, and sensory sensitivity—is something so many of us are living, but so rarely see named and understood together. And the reality of having to coordinate your own care within a siloed system, even with your level of medical expertise, speaks volumes about the gaps that still exist.
I’m really sorry for what you’ve had to endure—not just physically, but also the experience of not being fully seen or supported within the healthcare system. That kind of experience leaves a mark.
At the same time, the way you’ve been able to advocate for yourself and navigate something this complex is incredibly powerful, even though I know it comes at a cost.
Thank you again for taking the time to share your story here. It truly matters, and it adds so much depth to this conversation.
And thank you for your support—I hope the book meets you where you are 💙