Menopause is a part of life that involves a lot of change. For some people, these changes go beyond hot flashes and physical changes. Menopause can also impact your mental health, contributing to depression and other mental health challenges.

If you’re in or entering menopause, you might feel like your mind and mood are changing just as much as your body. You’re not imagining these changes, and you’re definitely not alone. Research shows that menopause symptom severity is significantly associated with depression, though first‑onset depression occurs in late perimenopause, not in established menopause. The symptom severity is also affected by sleeping difficulties as well as other challenges related to mental health and overall quality of life. Shifts in hormones, sleep, energy and life roles during this time can all have an impact on your mental health. Understanding how menopause affects your mental health can be key to navigating any challenges and getting the support you need.

4 potential effects of menopause on your mental health

• Mood changes — One moment you might feel fine; the next, you may be on edge or in tears without knowing why. Mood swings are one of the most common emotional symptoms during menopause, and they can be frustrating and confusing. Severe mood shifts can happen due to hormonal changes associated with menopause. Hormones aren’t the only potential cause for mood changes, though. According to the U.S. Office on Women’s Health, mood changes at this time also could be from stress, family changes or feeling tired. Finding calming activities like journaling or breathing exercises may help you manage mood changes. You may also want to talk with a licensed clinical therapist if your moods feel unmanageable or are affecting your relationships.
• Increased anxiety — If you already experience anxiety, menopause may make your symptoms feel stronger. Even if you haven’t struggled with anxiety in the past, menopause can bring on new anxious thoughts or physical symptoms like a racing heart or restlessness. There are a few things you can do to manage anxiety. Practice grounding exercises when anxiety shows up. Limit caffeine and try to build a calming nighttime routine. As with mood changes, professional mental health treatment can sometimes be essential for addressing anxiety symptoms that won’t go away.
• Sleep difficulties — Sleep problems are very common during menopause. Between night sweats, restless legs and waking up in the middle of the night, you may find yourself feeling tired and irritated every morning. This can take a major toll on your mental health. When your brain isn’t getting enough rest, it’s more likely to struggle with managing emotions, focus and stress. To manage sleep problems, you can try keeping a consistent bedtime and avoiding high-energy activities during the hour before your bedtime. You can also use cooling sheets and keep your bedroom dark and quiet. If sleep problems persist, you can discuss treatment options with your doctor. If your sleep difficulties are connected to physical symptoms, you may benefit from sleeping medication, menopausal hormone therapy or certain antidepressants. If your sleep problems are associated with mental health challenges like anxiety, the most effective approach may be mental health treatment.
• Feelings of sadness or grief — Menopause can bring a lot of emotional reflection. Some people grieve the end of fertility. Others feel unsure about what this new stage of life means for their identity, relationships or sense of purpose. These feelings are real and important. Life transitions like the transition to menopause can have significant emotional weight. That can bring sadness. You might grieve your past self. You might feel sad or anxious about your future. When you’re dealing with difficult feelings, give yourself space to feel and process these emotions without judgment. At the same time, focus on what still brings you joy. Talking with a psychotherapist can be a great way to get a better understanding of your own thoughts and feelings.

Lightfully treats mental health concerns with compassion, expertise and a personalized approach. Whether you’re navigating menopause-related anxiety, depression or emotional exhaustion, we’re here to help you feel seen and understood.

Our levels of care include:

• Residential Treatment — 24/7 support in a homelike setting with frequent individual therapy and clinical supervision
• Partial Hospitalization Program (PHP) — A high level of care with psychotherapy and psychiatric support
• Intensive Outpatient Program (IOP) — A structured yet flexible treatment program with three to six hours of treatment per day
• Virtual Services (vPHP/vIOP) — Effective mental health treatment accessible from home

These options are designed with a range of needs and personal circumstances in mind. With our help, you can get the mental health support you need in every season of life.

Change is possible. When menopause is taking a toll on your mental health and you need support, you can reach out to our Admissions Concierge Team. We’ll take the next steps together, toward the fullest, brightest version of you.