As we celebrate World Mental Health Day on October 10th, it’s important to discuss the often-overlooked emotional impact of menopause. For many women, perimenopause brings unexpected and sometimes overwhelming emotional changes, from anxiety to mood swings and even depression. While these experiences are common, they can be difficult to recognize, especially when they coincide with other life stresses.

Understanding the Emotional Toll of Menopause
During perimenopause, fluctuations in key hormones such as estrogen, progesterone, and testosterone can cause significant shifts in mood. For some women, this results in heightened irritability, low mood, or a sense of emotional vulnerability. Often, these changes can start in your 40s or even earlier. This stage may last years, gradually intensifying and often going unrecognized for what it truly is.
The emotional symptoms of menopause are varied, ranging from occasional tearfulness to full-blown depression. Unfortunately, many women are not correctly diagnosed and are often prescribed antidepressants instead of being offered appropriate hormone support. Studies indicate that women in their 40s and 50s, a prime age for menopause, are one of the highest groups prescribed antidepressants, even though these medications may not address the underlying hormonal imbalance.
The Risk of Misdiagnosis
While antidepressants can be effective in some cases, they don’t address the root hormonal fluctuations that are causing emotional turmoil for many women. Research suggests that a large number of women experiencing mental health challenges during menopause are not diagnosed properly, and their hormone levels are not taken into serious consideration. This means many women are left without the appropriate treatment for what is essentially a natural transition in life.
Menopause & Suicide: A Concerning Link
In the UK, suicide rates are highest among women aged 45 - 49, many of whom are experiencing perimenopause or menopause. This statistic is alarming and underscores the emotional strain that women may face during this period of life. Feelings of isolation, hopelessness, and anxiety can push some women to the brink. It’s important to note that help is available and no one should feel alone in their journey through menopause.
Where to Find Help in a Crisis
If you or someone you know is struggling with mental health during menopause, reaching out for help is essential. There are many organizations dedicated to supporting women through tough times:
• Samaritans (UK): If you’re feeling overwhelmed or suicidal, you can contact Samaritans at 116 123 (free, available 24/7). They provide a non-judgmental listening ear.
• Shout (UK): For immediate text support in a mental health crisis, text SHOUT to 85258. This service is confidential and available anytime.
• Mind (UK): Offering support and advice for mental health challenges, visit mind.org.uk or call 0300 123 3393.
• Crisis Text Line (USA): In the US, you can text HELLO to 741741 for free, confidential support from a trained crisis counselor.
• National Suicide Prevention Lifeline (USA): For immediate help in the US, call 1-800-273-TALK (8255).
Tips for Managing Menopausal Mental Health
• Track Your Symptoms: Keeping a diary of how you feel can help you identify patterns and triggers. Apps like Balance allow you to track emotional changes alongside other menopause symptoms.
• Seek Professional Guidance: If you’re struggling emotionally, speak with a menopause specialist who can address both your physical and mental symptoms.
• Lifestyle Adjustments: Regular physical activity, mindfulness exercises, and prioritizing sleep can have a positive impact on mood. Consider relaxation techniques, such as deep breathing or yoga, to reduce stress.
• Talk About It: Share your feelings with a trusted friend or a support group. Opening up can help you feel less isolated and more empowered.
Get the Right Support
Emotional symptoms of menopause, such as mood swings, anxiety, or depression, should never be dismissed. If you find that these changes are affecting your day-to-day life, it’s important to seek support from a professional who understands the unique challenges of menopause. Our Initial Wellness Consultation at Womankind can help you identify the areas where you need the most support and create a tailored plan to reduce your symptoms.
On World Mental Health Day, let’s raise awareness about how menopause can affect mental health and encourage women to seek the help they need. Remember, menopause is a natural part of life, but that doesn’t mean you have to go through it alone.