Understanding and supporting mental health in menopause

The intersection of menopause and mental health remains a significantly overlooked issue in our healthcare landscape. A poignant case reported by Sky News recently brought this to light, focusing on Frances a 56-year-old NHS worker. Her tragic story, marked by the neglect of menopause as a key factor in her mental health struggles, underscores a critical gap in our understanding and approach to women’s health.

Menopause is often dismissed as a mere biological transition, but its impact on mental health can be profound. In Frances's case, as highlighted by Sky News, her menopausal symptoms were potentially unconsidered in her mental health treatment, leading to tragic consequences. This is not an isolated incident; numerous women experience similar oversight in their healthcare journeys.

The hormonal tumult characteristic of menopause can precipitate a range of mental health issues, from depression to anxiety. Yet, the psychosocial aspects are equally significant. Societal attitudes towards menopause often foster a sense of invisibility and misunderstanding among women, exacerbating their mental anguish.

The current healthcare paradigm often fails to integrate menopausal symptoms into the broader context of women's mental health. The Healthcare Safety Investigation Branch (HSIB) report, as cited in the Sky News article, suggests a systemic oversight in this area. In my practice, I’ve encountered numerous women whose menopausal symptoms were either misdiagnosed or overlooked entirely.

Healthcare providers must evolve their approach, incorporating a thorough understanding of menopause into mental health assessments. Hormone Replacement Therapy (HRT) and other treatments should be considered as viable options, rather than defaulting to antidepressants which should not be a first-line treatment.

Women must be empowered with knowledge and resources to navigate menopause. Self-care strategies, alongside professional support, can significantly improve their quality of life. It’s imperative to provide women with access to support groups and reliable information resources.

The story of Frances as reported by Sky News, is a wake-up call to the healthcare community and society at large. Recognising and addressing the mental health implications of menopause is not just a medical necessity, but a moral imperative. We must collectively advocate for a healthcare system that is attuned to the unique needs of women undergoing menopause.

As a therapist specialising in women’s health and menopause,  I understand the intricacies of this transition and offer the following guidance to support your journey through menopause.

Acknowledge and understand the change:

The first step in managing menopausal symptoms is acknowledging the changes your body and mind are undergoing. Menopause is not just a biological event, but a complex process that can affect your emotional and psychological well-being. Understanding the symptoms, from mood swings to anxiety, helps in normalising these experiences and prepares you for addressing them effectively.

Communicate openly with healthcare providers:

A crucial aspect of managing menopause is maintaining open communication with your healthcare team. Regularly discussing your symptoms, emotional states and any concerns allows for a more personalised approach to your care. Find a therapist who specialises in women’s health.

Build a supportive network:

Creating a strong support network is invaluable during menopause. This could include family, friends, support groups or online communities. Sharing experiences and coping strategies in these groups can provide emotional support and a sense of belonging, making the menopausal transition less isolating.

Stay physically active:

Engaging in regular physical activity is essential for mental health during menopause. Exercise not only improves physical health but also boosts mood and helps manage stress and anxiety. Activities like yoga, walking or swimming can be particularly beneficial, offering both physical exercise and mental relaxation.

Prioritise self-care and mindfulness:

Self-care is crucial during menopause. This encompasses maintaining a healthy diet, ensuring consistent sleep patterns and engaging in activities that promote relaxation and joy. Mindfulness and meditation can also be powerful tools for managing stress and fostering a sense of inner peace.

Menopause is a significant life transition that can pose various mental health challenges. Remember, seeking help and discussing your experiences is not a sign of weakness, but a step towards taking control of your mental health during menopause.