Mood Disorders During Perimenopause and Menopause
There is an increased prevalence of depression and anxiety in perimenopausal
and menopausal women due to declining estrogen levels and other hormonal
changes that occur during this life phase. These changes can cause women
to experience mild to severe mood swings, depression and anxiety.
Hormonal changes can result in other mind and mood related symptoms as
well, such as anxiety, irritability, “brain fog” and lack
of motivation. Insomnia is another common symptom in perimenopausal and
menopausal women and can exacerbate irritability, mood swings, depression
and anxiety.
When to talk to your physician
In the case of depression, mild depressive episodes generally do not persist
beyond a few weeks, nor does mild depression interfere with day-to-day
function. Therefore, it’s important for a woman to see her physician
when feelings of depression or anxiety are persistent and she is experiencing
any of the following symptoms in addition to depression/anxiety:
- Difficulty sleeping, or sleeping too much
- Lack of interest in daily activities; lack of motivation
- Withdrawal from friends/family
- Loss of energy or slowed movement
- Difficulty concentrating
- Changes in appetite
- Restlessness, agitation
- Feelings of guilt, worthlessness or inadequacy
- Thoughts or ideas about suicide, even if in passing (seek immediate medical care)
Treatment Options
There are many highly effective treatment options available for treating
mood disorders in women. The most common treatment options include:
- Counseling, psychotherapy and support groups
- Oral contraceptives
- Anti-depressants and anti-anxiety medications
- Lifestyle changes, such as exercising and eating healthy
For more information about depression and other mood disorders, please
speak with your physician, or click here to locate a Hoag-affiliated physician
near you.