Anxiety and Depression in Perimenopause and Menopause

Do you feel like there’s been a shift in your mental health? Are you worrying more than usual or having a harder time managing stress and anxiety? Are you feeling more sad or empty lately? Are you noticing an increase in irritability? 

Perimenopause and menopause are both associated with an increased risk of depression and anxiety. There have been a number of studies on this subject that reveal this correlation.

Perimenopause refers to the transition towards menopause which can last several years before periods stop. It often starts in the 40s but it can begin in the 30s for some women. Once the period has stopped for a year, you’re considered in menopause. This usually happens when women are in their 50s. 

Why is there an increased risk? 

The physical changes that happen to women during perimenopause and menopause can be alarming and stressful. Hot flashes, night sweats and insomnia can really strain mental health. A drop in libido is a common symptom that can lead to feelings of emptiness or depression. Difficulty losing weight and changes in physical appearance during this period can be a source of anxiety for many. Brain fog and fatigue can lead to a background feeling of stress all the time. 

Then there are the hormonal shifts that impact mental health. The drop in estrogen that happens during this time is believed to cause negative changes in mood for some women. Other hormones like progesterone and testosterone drop too but the impact of these changes on mental health is not well studied (unfortunately). The hormonal shifts may in turn impact neurotransmitter activity. Serotonin is a neurotransmitter that plays a role in mood and it may be impacted by the hormone shifts that happen during perimenopause and menopause. Past history of anxiety and depression increases your risk of symptoms getting worse during perimenopause. 

Some big life changes happen from 40 years old and on. Young kids and teens could be hitting some challenging milestones. Empty nest syndrome could kick in as adult children move out. Caregiver burden often goes up as parents age. Career burnout or dissatisfaction can start to weigh on you. All of these changes combined with the physical changes mentioned above could contribute to the increased vulnerability to anxiety and depression among perimenopausal and menopausal women. 

What to do about it

We can't stop menopause from ever happening but there is a lot that can be done to smooth the transition and reduce anxiety, depression and physical symptoms. This can be done with the help of natural remedies, diet changes and lifestyle changes. If you want to learn more about how I help women through perimenopause and menopause, don’t hesitate to reach out.