As a counsellor specialising in women鈥檚 health, I have seen an increasing number of women seeking support for anxiety, panic attacks and a sense of losing themselves, often without realising that menopause may be a key factor. Many arrive believing they are struggling with a mental health condition, unaware that fluctuating hormones are playing a significant role in their emotional wellbeing.听
The hormonal changes of menopause can cause a cascade of psychological symptoms, including heightened anxiety, irritability, and difficulty coping with everyday stress. Women who have previously managed their emotions well, may suddenly find themselves overwhelmed by worry, experiencing racing thoughts or struggling with self-doubt. For some, these symptoms mimic clinical anxiety, leading to unnecessary prescriptions for antidepressants when, in reality, hormonal treatment or lifestyle adjustments could be more effective.听
This disconnection between menopause and mental health is something I see time and time again in therapy sessions. Women often feel invalidated or dismissed when seeking help, told that their distress is 鈥榓 part of getting older鈥� rather than a legitimate and treatable issue. The impact of this can be profound, leaving them feeling isolated, misunderstood, and powerless.听
As therapists, we have a crucial role in helping women recognise and validate their experiences. Psychoeducation is key, helping clients understand the physiological impact of hormone fluctuations on mood and anxiety levels can be empowering.听
Encouraging women to track their symptoms, explore medical options such as HRT, and engage in self-care strategies like mindfulness, breathwork, and gentle movement can help them regain a sense of control.听
Therapy provides a safe space for women to express fears about ageing, identity and body image, which often surface during menopause. By normalising these concerns and offering support tailored to their unique experiences, we can help them navigate this transition with greater confidence and resilience.听
The menopause conversation is gaining momentum, but there is still much work to be done to integrate it into mental health discussions. As practitioners, we need to ask the right questions, challenge outdated perceptions, and advocate for holistic approaches that support both the mind and body. When we do this, we can help women see menopause not as a time of loss, but as an opportunity for renewal and self-discovery.听
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