Menopause is a natural process in a woman’s life that is marked by the end of the menstrual cycle. It occurs when a woman's ovaries stop producing eggs and oestrogen and progesterone levels decline. So, as a woman ages, the balance of hormones in her body also changes, leading to menopause and various other symptoms and health issues. This includes mental health challenges, which are often overlooked.
According to Harvard Health Publishing, fluctuations in hormone levels during menopause can lead to mood changes, including symptoms of depression. A 2011 study published in Obstetrics and Gynecology Clinics of North America found that the risk of experiencing high depressive symptoms and mood disorders is significantly greater during and after the menopausal transition. While mental health experiences vary from person to person, Dr Nirmala M., Consultant Obstetrician, Gynaecologist, and Fertility Specialist at Motherhood Hospitals, Bengaluru, advises that it's crucial to seek counselling early if symptoms become noticeable. Here's a deeper look into why and how to approach mental health challenges during menopause.
Also Read: Premature Menopause: Understanding Health Risks And Symptoms To Watch Out For
Menopause And Mental Health Challenges![]()
“During menopause, women commonly face a range of mental health challenges, largely driven by hormonal fluctuations,” says Dr Nirmala, adding that mood swings, irritability, anxiety, and depression are often reported.
Some women may also experience cognitive changes like memory lapses and difficulty concentrating, which can be frustrating and lead to feelings of inadequacy. Moreover, the loss of reproductive ability can also cause emotional distress, particularly for women who tie their identity closely to motherhood.
It is also crucial to note that physical symptoms of menopause, such as hot flashes and sleep disturbances, can further contribute to emotional strain, as prolonged discomfort and exhaustion may exacerbate stress, anxiety, and mood disorders, the doctor adds.
All of these issues can contribute to mental health challenges, necessitating a strong support system and sometimes even professional help.
Role Of Early Counselling During Menopause![]()
According to Dr Nirmala, early counselling is crucial in addressing emotional and psychological issues related to menopause because it allows women to navigate the mental health challenges before they become overwhelming.
"Menopause can be a complex life stage, and early intervention helps women understand the changes they are going through, enabling them to better manage symptoms such as anxiety, mood swings, or depression," she shares, explaining how counselling provides a safe space to discuss emotional struggles, reduce feelings of isolation, and gain practical tools for coping with stress.
Cognitive Behavioral Therapy (CBT), for instance, can help women manage mood swings, anxiety, and depression by challenging negative thought patterns and promoting healthier emotional responses. Therapists can also help women navigate self-esteem issues and the emotional impact of physical changes, providing guidance on accepting this natural life transition. Counselling often includes relaxation techniques, mindfulness, and stress management strategies to help manage anxiety and sleep disturbances.
Also Read: Cervical Health In Your 20s, 30s, 40s, And Post-Menopause: Explained
According to Medical News Today, early counselling and therapy can help someone:
- understand their feelings
- identify issues that affect their mental health
- discover ways to overcome them
- learn new skills and coping strategies
- set goals for personal growth
- learn more about mental health conditions
Signs To Seek Mental Health Counselling During Menopause![]()
Certain mental health symptoms should prompt a woman to seek early counselling during menopause. These include:
- Persistent mood swings
- Feelings of sadness or depression, anxiety, and irritability
- Changes in sleep patterns, such as insomnia or restless sleep
- Stress and fatigue
- Overwhelming feelings of hopelessness
- Difficulty coping with daily activities
- Thoughts of self-harm
- Memory lapses
- Cognitive fog
- A sense of emotional detachment from loved ones
Why Menopausal Women Need A Strong Support System
In addition to counselling and professional help, a strong support system also plays a crucial role in helping women manage menopause-related mental health issues.
Having a network of family, friends, and healthcare professionals allows women to openly discuss their struggles, reducing feelings of isolation or frustration that often accompany this phase.
Dr Nirmala says, “Emotional support from loved ones can offer reassurance and help normalise the experience, alleviating anxiety or sadness. Peer support groups specifically tailored for women undergoing menopause can also be beneficial, providing a shared understanding of the challenges and practical coping strategies.”
She concludes that a well-rounded support system can make a significant difference in reducing stress, boosting self-esteem, and ensuring women receive the emotional care they need during this transitional phase.