“Depression has been shown to be prevalent during menopause, affecting as many as 70% of women transitioning into menopause”.1

Umbrella
What may the Menopause Depression umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Clinical Depression
  • Depression
  • Feeling Depressed
  • Menopause Blues

Terminology

Can depression mean different things to different people?

I think the term depression can be like the terms diet, love and menopause and mean different things, to different people, at different times, in different places.

When I use the term depression what I mean may be different to what someone else means or what is meant in medicaltalk by the term clinical depression.

It can therefore be important when the term depression is used, to be clear about what is meant, so we may work out whether we are on the same page meaning the same thing or not.

Definition

What is depression?

DotS the definition of depression may vary. The World Health Organization’s definition is:

“Depression is a common illness worldwide, with more than 264 million people affected(1). Depression is different from usual mood fluctuations and short-lived emotional responses to challenges in everyday life. Especially when long-lasting and with moderate or severe intensity, depression may become a serious health condition. It can cause the affected person to suffer greatly and function poorly at work, at school and in the family”.2

In Depression: Overview the (United States) National Institute of Mental Health’s (NIMH) definition is:

“Depression (major depressive disorder or clinical depression) is a common but serious mood disorder. It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. To be diagnosed with depression, the symptoms must be present for at least two weeks”.3

Sadness or Depression

Is sadness the same as depression?

In Depression in Women: 5 Things You Should Know the NIMH explain:

“Being sad is a normal reaction to difficult times in life. But usually, the sadness goes away with a little time. Depression is different—it is a mood disorder that may cause severe symptoms that can affect how you feel, think, and handle daily activities such as sleeping, eating, or working”.4

Perimenopause

Is there an association between perimenopause and depression?

In Depression In Women: 5 Things You Should Know – 3. Certain Types of Depression Are Unique To Women: Perimenopausal Depression the NIMH note:

“Perimenopause (the transition into menopause) is a normal phase in a woman’s life that can sometimes be challenging. If you are going through perimenopause, you might be experiencing abnormal periods, problems sleeping, mood swings, and hot flashes. Although these symptoms are common, feeling depressed is not. If you are struggling with irritability, anxiety, sadness, or loss of enjoyment at the time of the menopause transition, you may be experiencing perimenopausal depression”.5

Common or Not

How common are symptoms of depression during perimenopause?

In Depression Common During Perimenopause but Not Regularly Assessed by Providers the NAMS explain:

“Almost 40% of women experience symptoms of depression during perimenopause, yet it often goes undetected and untreated because many healthcare providers aren’t screening for it and aren’t prepared with treatment options”.6

In New Study Confirms High Prevalence of Depression During the Menopause Transition the NAMS elaborate on:

“Depression has been shown to be prevalent during menopause, affecting as many as 70% of women transitioning into menopause”.7

Menopause

Is there an association between menopause and depression?

In Menopause FAQs: Symptoms — Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? the North American Menopause Society (NAMS) elaborate on:

Menopause Depression
“A. Most women make the transition into menopause without experiencing depression, but many women report symptoms of moodiness, depressed mood, anxiety, stress, and a decreased sense of well-being during perimenopause”.8

Cause

What may cause depression during menopause?

The NAMS note:

“It has been suggested that mood symptoms may be related to erratic fluctuations in estrogen levels, but limited data exist on why this occurs”.9

On page one in Menopause and Depression: Depressive and Menopause Symptoms the NAMS elaborate on:

“It is important to note that not all midlife women experience mood problems, but some women are more vulnerable than others to developing either depressive symptoms or an episode of clinical depression during the menopause transition, especially those women who have had depression previously”.10

In Mental Health & Emotions: Depression, Anxiety & Menopause the JH elaborate on:

“Depression and depressed mood around the time of expected menopause (51-52 years in Australia) is more likely to occur because of factors other than menopause, including:

  • Prior episodes of depression
  • Significant stress in your life
  • A negative attitude to things happening in your life
  • Dissatisfaction with your relationships
  • Low self-esteem
  • Poor body image
  • Poor lifestyle such as little exercise or a high intake of alcohol”.11

Traumatic Events

May traumatic events come to the surface at this time?

The JH also note:

“Emotional health around the menopause is also more likely to be influenced by previous experiences of prior traumatic events; for example, past abuse. Women often seek counselling at menopause and might want to work through traumas they have previously experienced. This time of life seems to allow things to come to the surface”.12

Menopausal Hormone Therapy

May menopausal hormone therapy (MHT) be beneficial in improving depression?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

  • “MHT may be beneficial in improving mood in early postmenopausal women with depressive and/or anxiety symptoms. MHT may also be beneficial for perimenopausal women with major depression but antidepressant therapy remains first-line treatment in this setting”.13

Online Treatment Programs

Are online depression treatment programs available?

DotC (Depending on the Country) online depression treatment programs may be available. Your health care provider or local community health center may know of your country’s recommended online depression treatment programs.

Treatment

What may treatment involve?

On page one and two in Menopause and Depression: Treatment the NAMS elaborate on:

“Treatment will vary depending on whether you are suffering from mood symptoms or experiencing clinical depression. If you are having a major depressive episode, therapies that have been proven to help depression, such as antidepressants, cognitive behavior therapy and other types of psychotherapy will be recommended.

  • Antidepressants…
  • Psychotherapy…
  • Estrogen Therapy…
  • Complementary medicine”.14

Health Care Provider

What if I feel depressed?

If you feel depressed, it may be in your best interest to choose to talk to your health care provider abut this, soon as possible.

In Get Immediate Help the (United States) MentalHealth.gov elaborate on:

“People often don’t get the mental health services they need because they don’t know where to start. Talk to your primary care doctor or another health professional about mental health problems. Ask them to connect you with the right mental health services”.15

In Depression & Menopause: If Depression Is Severe the NAMS also note:

“Many primary care providers are not specifically trained in the management of mental health disorders, including clinical depression. Consultation with a mental health professional may be appropriate, and an expert opinion can be reassuring”.16

In Depression In Women: 5 Things You Should Know – 1. Depression Is A Real Medical Condition: Most People With Depression Need Treatment To Feel Better the NIMH explain:

“If you think you may have depression, start by making an appointment to see your health care provider. This could be your primary doctor or a health provider who specializes in diagnosing and treating mental health conditions (for example, a psychologist or psychiatrist). Certain medications, and some medical conditions, such as viruses or a thyroid disorder, can cause the same symptoms as depression. A health care provider can rule out these possibilities by doing a physical exam, interview, and lab tests. Your health care provider will examine you and talk to you about treatment options and next steps”.17

On page one in Menopause and Depression: Recognizing Depressive Symptoms and Depression the NAMS explain:

“When you are transitioning into menopause, you should notify your healthcare practitioner whether you have suffered from depression in the past or whether you were particularly sensitive to hormone changes and have experienced premenstrual syndrome or postpartum depression. Be alert and notice whether these mood changes are mild and do not greatly affect your quality of life or whether they are severe and debilitating and interfere with your daily activities”.18

In Who Can Assist: What Works? the (Australian) Beyondblue note:

“Everyone’s different. Treatment needs to be tailored to your condition, circumstances, needs and preferences. Most people with anxiety or depression benefit from one or a combination of the following:

  • Lifestyle changes and social support
  • Psychological or ‘talking’ therapies
  • Medical therapies”.19

In Depression: How Health Professionals Can Help the JH remind us:

Menopause Depression“Remember:

  • Depression is common
  • It is not a sign of weakness
  • It is nothing to be ashamed about
  • It can be treated”.20

Health Topics A-Z

Where may I find Health Topics related to Menopause Depression?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Menopause Depression?

Your Country may have Links similar to:

Links

This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
  1. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT)
  2. Alcohol and Mental Health
  3. Alcohol and Mental Health: Alcohol Depression = A Vicious Cycle
  4. Anxiety
  5. Anxiety Disorders
  6. Anxiety: What You Need To Know
  7. Better Sleep In 6 Steps
  8. Beyondblue.org.au
  9. Bioidentical Hormones Explained – A British Menopause Society Video
  10. Can Menopause Cause Anxiety, Depression or Panic Attacks?
  11. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  12. Complementary Medicine Options for Menopausal Symptoms
  13. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  14. Depression
  15. Depression
  16. Depression In Women: 5 Things You Should Know Depression In Women
  17. Depression, Anxiety & Illness
  18. Depression: Overview [Video Interview Stories]
  19. Depression: What You Need To Know [Booklet]
  20. Diet and Mental Health
  21. Does Caffeine Make Depression Worse?
  22. Early Menopause: Experiences and Perspectives of Women and Health Practitioners – Women’s Profiles
  23. Factors Affecting Women: Menopause
  24. Find Help: Finding Help Is the Key To Taking Charge and Moving Forward
  25. Finding A Mental Health Professional
  26. Finding the Right Mental Health Professional for You
  27. Get Help Now [Australia]
  28. Getting Help [United Kingdom]
  29. Guidelines for the Evaluation and Treatment of Perimenopausal Depression: Summary and Recommendations
  30. Headtohealth.gov.au: Head To Health [Australia]
  31. Help for Mental Illnesses [United States]
  32. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  33. How To Look After Your Mental Health
  34. How To Look After Your Mental Health Using Exercise
  35. If You or Someone You Know Is In Crisis and Needs Immediate Help
  36. Information About Menopause [Multiply Languages] [Videos]
  37. Lifestyle and Behaviour Changes for Menopausal Symptoms
  38. Lifestyle and Behavioural Modifications for Menopausal Symptoms
  39. Live and Thrive: Living and Thriving With Anxiety or Depression Means Conquering Your Symptoms
  40. Low Mood, Sadness and Depression [+ Video]
  41. Management of Depressive Symptoms In Peri- and Postmenopausal Women: EMAS Position Statement [European Menopause and Andropause Society]
  42. Managing Menopause: Don’t Let Symptoms of Menopause Reduce Your Quality of Life
  43. May Is Mental Health Month 2020
  44. Mayo Mindfulness: What Does It Really Mean? [+ Video]
  45. Menopause & Herbs
  46. Menopause Explained – A British Menopause Society Video
  47. Menopause FAQs: Menopause Symptoms — Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause?
  48. Menopause What Are the Symptoms?
  49. Menopause and Depression
  50. Menopause and Mental Health
  51. Menopause – What Are the Symptoms? [Multiply Languages] [Video]
  52. Menopause: Advice To Other Women About the Menopause [Video Interview Stories]
  53. Menopause: Emotions and the Menopause: Mood Swings, Anxiety and Depression [Video Interview Stories]
  54. Menopause: Symptoms & Causes
  55. Mental & Emotional Wellbeing
  56. Mental Health & Emotions: Depression, Anxiety & Menopause
  57. Mental Health and Wellbeing
  58. Mentalhealthatwork.org.uk [Mental Health At Work, United Kingdom]: Your First Stop for Better Mental Health At Work
  59. Mindfulness
  60. National Center for Complementary and Integrative Health: 5 Tips: What You Should Know About the Science Behind Depression and Complementary Health Approaches
  61. National Center for Complementary and Integrative Health: Anxiety At A Glance
  62. National Center for Complementary and Integrative Health: Depression
  63. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  64. National Center for Complementary and Integrative Health: Know the Science: How Medications and Supplements Can Interact
  65. National Center for Complementary and Integrative Health: Lavender
  66. National Center for Complementary and Integrative Health: Menopausal Symptoms In Depth
  67. National Center for Complementary and Integrative Health: S-Adenosyl-L-Methionine (SAMe): In Depth
  68. National Center for Complementary and Integrative Health: St. John’s Wort and Depression: In Depth
  69. National Center for Complementary and Integrative Health: Valerian
  70. National Institute of Mental Health: Depression
  71. National Women’s Health Week May 10–16, 2020 [United States]
  72. New Guidelines for the Evaluation and Treatment of Perimenopausal Depression
  73. Non-Hormonal Treatment Options for Menopausal Symptoms
  74. NonHormonal Treatments for Menopausal Symptoms
  75. Office of Dietary Supplements: Vitamin B6
  76. One Hour Per Week of Exercise Protects Against Depression Study Shows
  77. Physical Activity and Your Mental Health
  78. Practical Prescribing Explained – A British Menopause Society Video
  79. SAMe
  80. Self-Care and Kindness: Finding A Solution To the Trigger of Our Anxiety
  81. Shedding Light on New Treatment Options for Perimenopausal Depression and Sleep Problems
  82. Sleep Problems and Menopause: What Can I Do?
  83. Take Action Before the Blues Take Over
  84. Thiswayup.org.au
  85. Tips for Coping With Depression
  86. Transdermal Estradiol Shows Promise In Treating and Preventing Perimenopausal Depression
  87. Treatments for Anxiety
  88. Treatments for Depression
  89. Tuesday Tips: 4 Low-Cost Ways To Manage Depression [+ Video]
  90. Types of Talking Therapies: Cognitive Behavioural Therapy (CBT)
  91. Types of Therapist: How To Find & Choose A Therapist – What Is the Difference Between A Psychologist, Psychiatrist and Counsellor?
  92. Understand the Facts: Understanding the Facts of Anxiety Disorders and Depression Is the First Step
  93. Video Series-2019 – Mood Changes During Perimenopause
  94. Video Series-2019 – What You Need To Know About Mood During the Menopause Transition
  95. Video Series-2020 – How To Talk To Your Primary Care Clinician About Your Overall Health
  96. Video Series-2020 – What You Need To Know About Cognition and Mood Changes
  97. Why Some Women Are More Likely To Feel Depressed
  98. Women
  99. Women and Depression
  100. Women’s Wellness: Mindfulness May Ease Menopausal Symptoms

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Menopause and Depression: Depressive and Menopause Symptoms. 2018:1. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/menonote-menopause-and-depression.pdf Accessed: 03 July 2020
  2. Depression: Let’s Talk. 30 January 2020. World Health Organization https://www.who.int/news-room/fact-sheets/detail/depression Accessed: 03 July 2020
  3. Depression: Overview. Last Revised: February 2018. National Institute of Mental Health https://www.nimh.nih.gov/health/topics/depression/index.shtml#part_145398 Accessed: 03 July 2020
  4. Depression In Women: 5 Things You Should Know. Revised: 2020. National Institute of Mental Health https://www.nimh.nih.gov/health/publications/depression-in-women/index.shtml Accessed: 03 July 2020
  5. Depression In Women: 5 Things You Should Know – 3. Certain Types of Depression Are Unique To Women: Perimenopausal Depression. Revised 2020. National Institute of Mental Health https://www.nimh.nih.gov/health/publications/depression-in-women/index.shtml#pub3 Accessed: 03 July 2020
  6. Depression Common During Perimenopause But Not Regularly Assessed by Providers. 21 January 2020. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/depression-screening-during-perimenopause-1-21-20.pdf Accessed: 03 July 2020
  7. New Study Confirms High Prevalence of Depression During the Menopause Transition 01 July 2020. North American Menopause Society http://www.menopause.org/docs/default-source/press-release/depression-and-fear-of-death-during-menopause-7-1-20.pdf Accessed: 03 July 2020
  8. Menopause FAQs: Menopause Symptoms — Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 03 July 2020
  9. Menopause FAQs: Menopause Symptoms — Q. My family tells me that I’ve become moody, and I admit that I sometimes feel blue or short-tempered. Menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 03 July 2020
  10. Menopause and Depression: Depressive and Menopause Symptoms. 2018:1. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/menonote-menopause-and-depression.pdf Accessed: 03 July 2020
  11. Mental Health & Emotions: Depression, Anxiety & Menopause. Last Updated: 14 January 2019 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/mental-health-emotions/ Accessed: 03 July 2020
  12. Mental Health & Emotions: Depression, Anxiety & Menopause. Last Updated: 14 January 2019 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/mental-health-emotions/ Accessed: 03 July 2020
  13. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 03 July 2020
  14. Menopause and Depression: Treatment. 2018:1-2. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/menonote-menopause-and-depression.pdf Accessed: 03 July 2020
  15. Get Immediate Help. Last Updated: 17 March 2020. MentalHealth.gov https://www.mentalhealth.gov/get-help/immediate-help Accessed: 03 July 2020
  16. Depression & Menopause: If Depression Is Severe. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/mental-health-at-menopause/depression-menopause Accessed: 03 July 2020
  17. Depression In Women: 5 Things You Should Know – 1. Depression Is A Real Medical Condition: Most People With Depression Need Treatment To Feel Better. Revised: 2020. National Institute of Mental Health https://www.nimh.nih.gov/health/publications/depression-in-women/index.shtml#pub1 Accessed: 03 July 2020
  18. Menopause and Depression: Depressive and Menopause Symptoms. 2018:1. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/menonote-menopause-and-depression.pdf Accessed: 03 July 2020
  19. Who Can Assist: What Works? Beyondblue https://www.beyondblue.org.au/get-support/who-can-assist Accessed: 03 July 2020
  20. Depression: How Health Professionals Can Help – Remember. Last Updated: 13 January 2020 | Last Reviewed: 10 March 2014. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/mental-emotional-health/depression Accessed: 03 July 2020
Topic Last Updated: 03 July 2020 – Topic Last Reviewed: 03 July 2020
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