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Writer's pictureBarbara Powelec

Depression during menopause

Updated: Oct 15



Menopause is a significant life transition for women, often accompanied by various physical and psychological challenges. Among these challenges, depression stands out as one of the most serious complications. Understanding the intertwining factors that contribute to menopausal depression is crucial for providing better support to women during this period.




Recognizing Menopause Depression


The early symptoms of menopause, primarily driven by estrogen deficiency, can mimic those of depression. These symptoms include:


• Insomnia

• Mood changes

• Anxiety

• Excessive irritability

• Loss of concentration

• Memory disorders

• Loss of libido


Because of these overlapping symptoms, diagnosing depression during menopause can be particularly challenging.


Psychological Problems Associated with Menopause


Empty Nest Syndrome


One prominent psychological issue during menopause is the empty nest syndrome. As children grow up and leave home, many mothers struggle to accept this separation. This syndrome manifests as a profound sense of emptiness, loneliness, and a feeling of being unnecessary. The lack of other life goals can exacerbate these feelings, particularly in mothers who have placed a high value on motherhood.


Mid-Life Crisis in Men


Menopause often coincides with a mid-life crisis in men, which can add to a woman's stress. Men may resort to radical changes such as switching jobs, altering their lifestyle, or even seeking divorce. This can leave women feeling overwhelmed with additional responsibilities and fearing the future. Their self-esteem may plummet, especially if they blame themselves for the breakdown of their relationship.


Work-Related Stress


Many women in the perimenopausal period experience stress related to their careers. Concerns about declining intellectual abilities, memory, and concentration can lead to fears of job loss. The awareness of limited opportunities for finding new employment further exacerbates this stress.


Loss of Loved Ones


The death of close relatives is another significant factor contributing to perimenopausal depression. Women over forty may face the loss of parents, spouses, or friends for the first time. These losses can trigger deep-seated anxiety and depression.


Menopause, acting as a significant stressor, can trigger or exacerbate mental health disorders in predisposed women.


If You Have a History of Depression


If you have been diagnosed with depression before, there is a higher chance of experiencing an episode as menopause approaches.

It is essential to speak with your doctor if you notice the return of previous symptoms or encounter new ones, such as:

• Constant feelings of sadness, hopelessness, or irritability

• Changes in appetite, either decreased or increased

• Sleeping too much or experiencing insomnia

• Extreme fatigue and a lack of motivation

• Losing interest in activities you once enjoyed

• Struggling with decision-making and concentration

• Having thoughts of suicide


Understanding the complex nature of perimenopausal depression is crucial for creating specific interventions and offering holistic care to women going through this difficult stage of life.

By recognizing these emotions and proactively maintaining connections while prioritizing your mental well-being, you can navigate this phase with increased comfort and strength. Remember, you are not alone, and there are resources and assistance accessible to support you along this path.


I shared self-love strategies in my latest post which can help you improve your mood and feeling but remember its okay ask for help.







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