Mood Changes (Menopause-Related)
Fluctuations in mood, including increased irritability, anxiety, tearfulness, feelings of overwhelm, or depressive symptoms, are common during the menopausal transition. These changes are linked to fluctuating hormone levels (especially estrogen, which influences neurotransmitters like serotonin), sleep disturbances caused by night sweats, and the stress associated with other menopause symptoms or life changes occurring concurrently. While distinct from clinical depression or anxiety disorders, these mood shifts can significantly impact well-being. Lifestyle adjustments, stress management, and sometimes therapy or medication can provide relief.
Management Strategies
- Regular exercise
- Stress management techniques (yoga, meditation, deep breathing, mindfulness)
- Adequate sleep (addressing sleep disturbances)
- Healthy diet
- Limiting alcohol and caffeine
- Social support
- Counseling or psychotherapy (CBT, talk therapy)
- Support groups
- Antidepressants (SSRIs, SNRIs - may also help hot flashes)
- Anti-anxiety medications (short-term use usually advised)
- Hormone Replacement Therapy (HRT - may improve mood, especially if linked to hormone fluctuations or vasomotor symptoms, but not a primary treatment for clinical depression)
- Limited evidence for most supplements; consult doctor (e.g., St. John's Wort - many interactions, Omega-3s)
Impact
- Strained relationships
- Reduced work productivity
- Decreased enjoyment of life
- Increased stress levels
- Difficulty managing daily tasks
Diagnostic Considerations
Based on symptom reporting in context of menopausal transition. Screening for depression/anxiety disorders is important.