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Promoting good mental health during menopause

I'm writing this article on Friday, 11th October, and there’s certainly a lot going on at the moment. Today marks World Mental Health Day, we’re currently in the midst of Women in Tech Week, and, of course, World Menopause Day is approaching on 18th October. With all these significant events in mind, today’s topic feels especially important: "Promoting good mental health during menopause."




Menopause and Mental Health: A Complex Connection

Menopause is a natural transition in every woman's life, yet it often comes with challenges, especially regarding mental health. For many, the journey can involve significant shifts in mood, emotions, and overall well-being. Hormonal fluctuations during this time, particularly the decline of oestrogen and progesterone, can lead to feelings of anxiety, irritability, depression, and even cognitive difficulties like "brain fog."


These symptoms can make it difficult to navigate daily life, and it’s essential to raise awareness that menopause is more than just a physical experience. The emotional and mental aspects deserve equal attention. Menopause Awareness Day reminds us that we must empower women by providing them with the knowledge, support, and strategies to maintain good mental health throughout this stage.


Understanding the Impact of Hormonal Changes

The decrease in oestrogen levels during menopause is one of the primary factors contributing to mental health difficulties. Oestrogen is crucial in regulating serotonin, the “feel-good” chemical in our brains. As its levels drop, women may experience heightened anxiety, mood swings, or depressive symptoms, which can feel overwhelming.


According to a 2024 study published in The Lancet, many women report that they are caught off-guard by the intensity of emotional symptoms. While society often focuses on physical symptoms like hot flushes and night sweats, the psychological impacts are frequently underreported or misunderstood. This underlines the importance of raising awareness and promoting comprehensive support for mental well-being during menopause .


Practical Strategies for Supporting Mental Health

Promoting good mental health during menopause involves a holistic approach. By addressing lifestyle factors and seeking proper guidance, women can alleviate some of the emotional challenges. Below are some evidence-based strategies to help maintain mental well-being:


1. Prioritise Sleep

Sleep disturbances are common during menopause, with night sweats and insomnia frequently disrupting rest. Lack of sleep can exacerbate feelings of anxiety, irritability, and depression. Creating a bedtime routine that promotes relaxation, such as avoiding screens before bed, limiting caffeine, and using calming techniques like meditation, can improve sleep quality.


Research published by the National Institute for Health and Care Research (NIHR) this year highlights the importance of sleep hygiene in managing menopausal symptoms. It found that women who established consistent sleep routines experienced fewer mood disturbances and improved mental clarity.


2. Stay Physically Active

Physical activity is a powerful mood booster. It releases endorphins, which can reduce anxiety and improve overall mood. Engaging in activities like yoga, walking, or swimming promotes physical health and serves as a mental health enhancer. Regular exercise has been shown to help with the reduction of stress, anxiety, and depressive symptoms during menopause.


A report by Menopause Matters, a UK-based organisation that provides menopause education, found that women who incorporated moderate exercise into their routines reported better mental health outcomes.


3. Maintain a Balanced Diet

Nutrition plays an important role in mental health. A diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids can support brain function and emotional well-being. Avoiding processed foods, excessive caffeine, and alcohol can also help stabilise mood.


Foods like flaxseeds, leafy greens, and oily fish contain phytoestrogens, which may help balance hormone levels. Consuming these regularly may not only ease physical symptoms but also support better emotional balance.


4. Mindfulness and Meditation

Mindfulness practices such as meditation can significantly reduce stress and improve mood stability during menopause. It encourages women to be present and more in control of their thoughts and feelings, reducing the overwhelm that hormonal changes can bring.


Mindfulness-based stress reduction (MBSR) programmes have been found to lower cortisol levels, the body’s stress hormone, and promote a sense of calm. Incorporating mindfulness exercises for just 10 minutes a day can make a profound difference in emotional well-being.


5. Social Support and Professional Help

Navigating menopause can be isolating, but it’s important to remember that you’re not alone. Connecting with others who are going through similar experiences can be invaluable. Menopause support groups or even online communities provide safe spaces for sharing stories, coping strategies, and advice.


If mental health symptoms become overwhelming, seeking professional support is essential. Cognitive Behavioural Therapy (CBT) is one of the effective treatments for anxiety and depression linked to menopause. Therapists can help women process their emotions, adjust negative thought patterns, and develop healthier coping mechanisms.


The Importance of Awareness and Compassion

Menopause isn’t something that should be suffered in silence. There needs to be more awareness surrounding its mental health impacts, and workplaces, healthcare providers, and loved ones should be educated on how to provide support. Menopause Awareness Day on 18th October aims to reduce stigma and promote understanding.


Empathy plays a critical role in this. For example, workplaces can create supportive environments by offering flexible schedules, mental health resources, and menopause education. Family and friends can provide a listening ear and ensure that the individual’s emotional experiences are validated. Understanding that menopause affects everyone differently—both physically and mentally—can make a world of difference to those undergoing this transition.


Creating a Positive Narrative Around Menopause

Culturally, menopause is often portrayed negatively as a time of decline or loss. But this perspective can be challenged. With the right mindset, menopause can be reframed as a time of growth and renewal. Promoting self-compassion during this period can help women move through it with confidence and resilience.


As we approach World Menopause Day, it’s important to continue these conversations and encourage more open dialogue about the emotional aspects of menopause. Whether it’s through media, healthcare, or coaching, spreading awareness and offering practical support helps every woman navigate menopause with better mental health and well-being.


By shining a light on mental health during menopause, we honour the challenges and celebrate the strength of those who go through it. Together, we can create a world where women feel empowered and supported every step of the way.



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