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Sheryl Kraft

Sheryl Kraft, a freelance writer and breast cancer survivor, was born in Long Beach, New York. She currently lives in Connecticut with her husband Alan and dog Chloe, where her nest is empty of her two sons Jonathan. Sheryl writes articles and essays on breast cancer and contributes to a variety of publications and websites where she writes on general health and wellness issues. She earned her MFA in writing from Sarah Lawrence College in 2005.

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The Connection Between Menopause and Anxiety

Menopause and Anxiety: The Connection

As you go through perimenopause and into menopause, you are more likely to experience anxiety, depression, mood swings and panic attacks.

Menopause & Aging Well

This article has been archived. We will no longer be updating it. For our most up-to-date information, please visit our menopause hub here.


Yes, it takes away your period—for good. And considering that the average number you've had in your lifetime hovers somewhere around 450, you might be happy to say bye-bye.

But, in return, menopause ushers in some other things you might not be so happy about: anxiety, depression, mood swings, panic attacks. That wild roller coaster of high-pitched emotional craziness. If you suffered PMS back in the day, this is PMS on steroids; a newer—yet hardly improved—version.

Estimates vary on just how many women experience psychiatric problems during menopause. But that number hardly matters when you're the one who feels like you're losing your mind.

I've written a lot about menopause and interviewed a lot of leading experts. And no one topic has elicited such passion among the sisterhood of menopause as this one.

Years ago, I wrote about menopause and anxiety, and to this day women are still commenting. It's turned into an online support group of sorts, with almost 300 respondents sharing their stories.

Yes, misery does love company, I suppose, but with good reason: So many perimenopausal and menopausal women go through anxiety and feel so alone. Connecting with other women is extremely reassuring.

So, what IS the connection between menopause and anxiety? Is it coincidence, or is it related to changing hormones?

When I interviewed Jason Eric Schiffman, MD, for my blog several years ago, he gave me some answers. He said that there is "absolutely a connection" between hormonal changes and psychiatric symptoms in general. Women in perimenopause are "more likely to experience panic attacks … than other women of the same age who are pre- or postmenopausal."

You're not imagining it. Oh, no.

Around the time of menopause, there are other stressors—which can add to a woman's anxiety. When you consider things like caring for aging parents, dealing with an empty nest, brain drain and dealing with the symptoms of menopause like sleeplessness, hot flashes, joint pain and other body changes, it's a miracle we are staying on the right side of sanity.

The good news? Once menopause passes, many women find their anxiety decreases. Margery Gass, MD, former president and executive director emeritus of the North American Menopause Society, is reassuring: The mood swings are temporary. About one year after your period is gone, you'll settle into a "new plateau" of emotional comfort, she says.

Despite the ongoing debate—Does anxiety cause an increase in common menopause symptoms like hot flashes and sleep problems? Or do those symptoms cause anxiety?—the connection between menopause and anxiety is irrefutable.

Until your mood swings lessen in the postmenopausal stage, you can manage your symptoms with some positive things like:

  • A healthy diet
  • Plenty of exercise
  • Stress management
  • Girlfriend bitching sessions
  • Advice or help from your health care professional (there are options!)

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