“…many women report symptoms of moodiness,
depressed mood, anxiety, stress, and
a decreased sense of well-being during perimenopause”.1

Umbrella
What may the Menopause Psychological Symptoms Umbrella include?

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

  • Menopausal/Menopause Emotional/Mental Health/Psychological Changes/Symptoms
  • Menopause-Related Emotional/Mental Health/Psychological Changes/Symptoms
  • Perimenopausal/Perimenopause Emotional/Mental Health/Psychological Changes/Symptoms

Psychological Symptoms

What are some menopause psychological symptoms?

In Symptoms of Menopause: What Are the Symptoms of Menopause? the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

Menopause Psychological Symptoms
“Emotional Symptoms

  • Difficulty concentrating
  • Difficulty sleeping
  • Feeling anxious
  • Feeling irritable
  • Feeling you are not able to cope as well as you used to
  • Forgetfulness
  • Increasing PMS (premenstrual syndrome)
  • Less interest in sex
  • Lowered mood
  • Mood swings”.2

In Menopause and Your Mental Wellbeing the (Scottish) NHS Inform explain:

“Changes in your hormones during menopause can impact your mental health as well as your physical health. You may experience feelings of anxiety, stress or even depression. Menopausal symptoms may include:

  • Anger and irritability
  • Anxiety
  • Forgetfulness
  • Loss of self-esteem
  • Loss of confidence
  • Low mood and feelings of sadness or depression
  • Poor concentration – often described as ‘brain fog’ and/or lost words”.3

Depression

Is there an association between depression and menopause?

In 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? the North American Menopause Society (NAMS) elaborate on:

“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”.4

History of Depression

Is there an association between a history of depression and menopause?

On page 777 in The 2022 Hormone Therapy Statement of The North American Menopause Society: Depression the North American Menopause Society (NAMS), published  July 2022 and “endorsed by more than 20 well-respected international organizations”, explain:

“Depressive symptoms worsen as women transition through menopause, although evidence is mixed as to whether depressive disorders are more common during the menopause transition relative to premenopause. Most women who present with depressive disorders during the menopause transition are women with a history of depression before the menopause transition, and women with a history of depression are at high risk for recurrence during the menopause transition”.5

Look for A Pattern

Menopause Psychological SymptomsMay Look for A Pattern help clarify menopause psychological symptoms?

On page two in Mental & Emotional Health: What Can You Do To Help Your Mental & Emotional Health the JH explain:

  • “Keep a diary to help clarify:
    • Your symptoms of depression, anxiety or stress
    • The things that trigger feelings of distress
    • What creates positive or negative thoughts for you”.6

Self-Management

What are some self-management techniques for menopause psychological symptoms?

On page two in Mental & Emotional Health: What Can You Do To Help Your Mental & Emotional Health the JH elaborate on what else you can do to manage your mental and emotional health.

Menopausal Hormone Therapy

Is menopausal hormone therapy (MHT) used to treat menopause psychological symptoms?

The NHS Inform elaborate on:

“Some women have been prescribed anti-depressants to help with the mental health-related symptoms during the menopause, but unless you have been diagnosed with depression there are other treatment options that are more appropriate”.7

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”.8

Health Care Provider

What if I would like help with menopause psychological symptoms?

If you would like help with menopause psychological symptoms it, may be in your best interest to choose to talk to your health care provider about this.

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”.9

The JH explain:

  • “See a doctor and/or psychologist who can assess your symptoms and discuss possible treatments – this might include talking therapies and/or medication”.10

In Menopause and Your Mental Wellbeing the NHS Inform also encourage us to seek help:

“It’s important to realise that the mental symptoms of menopause are as real as the physical ones, and you should not wait to seek help if you are struggling. Speak to your local GP practice and they can provide you with the right support and help”.11

Who is a GP?

DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.

Health Topics A-Z

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Sources

Where may I find the Sources quoted?

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Sources

  1. Mental & Emotional Health: What Can You Do To Help Your Mental & Emotional Health? Updated August 2018:2. Jean Hailes https://jeanhailes.org.au/contents/documents/Resources/Fact_sheets/Mental_emotional_health.pdf Accessed: 04 August 2022
  2. Symptoms of Menopause: What Are the Symptoms of Menopause? Emotional Symptoms. Last Updated: 24 March 2021 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/menopause-symptoms/ Accessed: 04 August 2022
  3. Menopause and Your Mental Wellbeing. Last Updated: 10 June 2022. NHS Inform https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/the-menopause/overview-of-the-menopause/menopause-and-your-mental-wellbeing Accessed: 04 August 2022
  4. 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? https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 04 August 2022
  5. The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Depression. July 2022:77. The North American Menopause Society https://journals.lww.com/menopausejournal/Abstract/2022/07000/The_2022_hormone_therapy_position_statement_of_The.4.aspx Accessed: 04 August 2022
  6. Menopause and Your Mental Wellbeing. Last Updated: 10 June 2022. NHS Inform https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/the-menopause/overview-of-the-menopause/menopause-and-your-mental-wellbeing Accessed: 04 August 2022
  7. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/wp-content/uploads/2020/08/global-consensus-hrt-2016-06.pdf Accessed: 04 August 2022
  8. 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: 04 August 2022
  9. Mental & Emotional Health: What Can You Do To Help Your Mental & Emotional Health? Updated August 2018:2. Jean Hailes for Women’s Health https://jeanhailes.org.au/contents/documents/Resources/Fact_sheets/Mental_emotional_health.pdf Accessed: 04 August 2022
  10. Menopause and Your Mental Wellbeing. Last Updated: 10 June 2022. NHS Inform https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/the-menopause/overview-of-the-menopause/menopause-and-your-mental-wellbeing Accessed: 04 August 2022
  11. Menopause and Your Mental Wellbeing. Last Updated: 10 June 2022. NHS Inform https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/the-menopause/overview-of-the-menopause/menopause-and-your-mental-wellbeing Accessed: 04 August 2022
Topic Last Updated: 09 August 2022 – Topic Last Reviewed: 04 August 2022

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