As women enter their 40s and 50s, many find themselves grappling with more than just the physical symptoms of menopause. The psychological impact of this life transition can be equally challenging, with anxiety and depression emerging as common concerns.
Understanding the Link
Menopause brings about significant hormonal changes. Oestrogen, which plays a crucial role in mood regulation, begins to decline. This hormonal shift can trigger or exacerbate mental health issues, particularly anxiety and depression.
A recent global study led by UCL researchers from the University City London (UCL) in the UK, found that Women are 40% more likely to experience depression in perimenopause than those who aren’t experiencing any menopausal symptoms.
Recognising the Symptoms
When recognising your symptoms it is important to understand the difference between clinical depression and reproductive depression.
Reproductive depression is is subgroup of depressive disorders, individually known as premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD), postnatal depression and climacteric depression the last of which is the few years before the cessation of periods during the menopause transition.
It is important to recognise the difference because there is a clear difference in the effective treatment required by the two types of depression.
The label of Climacteric depression highlights that the cause is endocrine rather than psychiatric. Therefore, the most effective and logical treatment is to prescribe hormones rather than antidepressants.
Clinical depression is different from reproductive depression because clinical depression is often triggered by difficult or traumatic life events and the consequent stress caused.
Anxiety during menopause may manifest as:
Increased worry or tension
Panic attacks
Sleep disturbances
Difficulty concentrating
Depression symptoms might include:
Persistent sadness or low mood
Loss of interest in activities
Fatigue
Changes in appetite or weight
Cultural Considerations
It's important to note that the experience of menopause can vary across cultures. While some societies openly discuss women's health issues, others may still consider menopause a taboo subject. This cultural context can significantly impact how women cope with mental health challenges during this time.
Seeking Help:
Fortunately, many countries offer comprehensive healthcare systems that include mental health support. In France, for example, the healthcare system covers consultations with mental health professionals. The UK's National Health Service (NHS) provides various resources and treatments for menopausal women experiencing mental health issues.
Management Strategies
Hormone Replacement Therapy (HRT): HRT is widely available globally and is effective in supporting both physical and psychological symptoms of menopause.
Coaching and Therapy: Coaching and other talking therapies such as Cognitive Behavioural Therapy (CBT) have shown promising results in helping women manage anxiety and depression related to menopause.
Lifestyle Changes: Regular exercise, a balanced diet, and stress-reduction techniques like mindfulness meditation can significantly improve mental well-being.
Support Groups: There are many support groups, both in person such as Menopause Cafes and online groups for menopausal women, providing a safe space to share experiences and coping strategies.
Natural Remedies: Some women find relief in herbal supplements like St. John's Wort, though it's crucial to consult with a healthcare provider before starting any new treatment.
As we continue to engage in open discussions about menopause and mental health, women can feel more empowered to seek help and support. Remember, experiencing anxiety or depression during menopause is not uncommon, and there are numerous resources available to help you navigate this transition. By prioritizing mental health alongside physical well-being, all women can approach menopause with confidence and resilience.
If you're struggling with mental health issues related to menopause, don't hesitate to reach out to your healthcare provider, they are there to support you.
If you are ready to take control of your menopause and mental health, have a look at my Menopause Mindset Method programme.
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