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Helen Wales

Understanding and Managing Menopausal Anxiety

Anxiety is something many of us face at different points in our lives, but during menopause, it can become a persistent and overwhelming experience. For many women, anxiety during menopause isn’t just about feeling a bit more stressed than usual; it can manifest as intense worry, sudden panic attacks, and a constant sense of unease. Understanding why this happens and finding ways to manage it is crucial for maintaining mental health and overall well-being during this time.


What Causes Anxiety During Menopause?

The root of menopausal anxiety lies largely in the hormonal changes we go through during this transition. As oestrogen levels decline, so does the regulation of neurotransmitters like serotonin and dopamine—chemicals that are closely linked to mood. This hormonal fluctuation can lead to increased feelings of anxiety, mood swings, and even depression.

But it’s not just the hormones. Menopause is a time of significant life changes—children leaving home, career shifts, ageing parents, and the inevitable reflections on ageing and mortality. These life events, combined with the physical symptoms of menopause like hot flushes, insomnia, and fatigue, can create a perfect storm for anxiety.


Menopausal anxiety

Recognising the Signs of Menopausal Anxiety

Anxiety during menopause can show up in many forms. It might feel like:

  • Persistent Worry: A constant, nagging sense of worry about everyday things or even about nothing in particular.

  • Panic Attacks: Sudden episodes of intense fear, often accompanied by physical symptoms like a racing heart, sweating, trembling, or shortness of breath.

  • Irritability: Feeling on edge, more irritable, or easily frustrated.

  • Difficulty Concentrating: Struggling to focus, feeling scattered or overwhelmed by simple tasks.

  • Insomnia: Trouble falling asleep or staying asleep, often due to racing thoughts.


It’s important to acknowledge these feelings rather than dismissing them as “just part of getting older.” Anxiety is real, and it’s valid to seek help in managing it.


Practical Strategies for Managing Menopausal Anxiety

While menopausal anxiety can feel overwhelming, there are several strategies that can help manage these feelings and bring some relief:

mindfulness
  1. Mindfulness and Relaxation Techniques Mindfulness practices like meditation, deep breathing exercises, and progressive muscle relaxation can be incredibly effective in calming the mind and body. Even just a few minutes a day can make a significant difference.

  2. Regular Physical Activity Exercise is a natural mood booster. It doesn’t have to be anything extreme—brisk walking, yoga, or swimming can help regulate your mood, reduce stress, and improve sleep quality.

  3. Healthy Diet Eating a balanced diet rich in whole foods, lean proteins, healthy fats, and plenty of fruits and vegetables can support overall health and stabilise mood. Reducing caffeine, alcohol and sugar, which can exacerbate anxiety, is also helpful.

  4. Sleep Hygiene Good sleep is crucial for mental health. Establish a calming bedtime routine, keep your sleep environment cool and comfortable, and avoid screens before bed to improve sleep quality.

  5. Hormone Replacement Therapy (HRT) For some women, HRT can help manage menopausal symptoms, including anxiety. It’s not suitable for everyone, so discussing it with your GP to weigh the benefits and risks is essential.

  6. Talking Therapy Cognitive-behavioural therapy (CBT) has been shown to be particularly effective for anxiety. Speaking with a therapist who understands menopause can provide you with tools to manage anxious thoughts and feelings.

  7. Support Networks Don’t underestimate the power of talking to others. Whether it’s a friend, a support group, or a professional, sharing your experiences can provide comfort and reduce feelings of isolation.



When to Seek Professional Help

While self-help strategies can be effective, it’s important to seek professional help if your anxiety is significantly impacting your daily life. Your GP can discuss options like medication, HRT, or referral to a mental health specialist.


Final Thoughts

Menopausal anxiety is a challenge that many of us will face, but it’s important to remember that you’re not alone. It’s okay to ask for help and to take steps to manage your mental health during this time. By recognising the signs, practising self-care, and seeking support when needed, you can navigate this phase of life with resilience and grace.


Remember, menopause is a transition, not a destination. And like any journey, having the right tools and support can make all the difference.

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