Menopause management – How to build your menopause toolkit

Biological transition

There are medical issues that may occur during the biological transition of perimenopause, menopause, and post-menopause. During this time, it’s important to seek medical advice and regular check-ups to ensure you remain well.

Anxiety and depression are common during this process and will at times need specialised help from a CBT therapist for example. As is the case with anxiety and depression in general there are many things you can do to reduce the intensity and longevity of them.

Menopause toolkit and self-help tips

• Look closely at what you eat and how to eat a nutrient-rich diet (such as increasing of food sources rich in calcium, magnesium and vitamins D and K to maintain integrity of your bones), a healthy balanced diet will not only make you feel good but can also help reduce symptoms.
• Take regular exercise, not only will it boost your mood but will also help prevent weight gain, reduce the risk of cancer and other diseases, and strengthen your bones.
• Stay well hydrated, during menopause dryness is often an issue as oestrogen levels decrease. Hydration is key in improving a whole raft of menopause symptom.
• Staying connected to loved ones is also one of the cornerstones of self-care at any time. Talk to people who love you about how you are feeling.
• Sleep issues are common, try and follow a regular sleep schedule and keep good sleep hygiene (night sweats etc permitting) or ability to rest during the day. Getting good sleep helps boost your mind and mood.
• Behavioural activation when you lose motivation through depression (doing activities, hobbies, meals, meeting friends even if you don’t feel like doing them).
• Understand unhelpful thinking patterns and look at the positives in life
• Practising yoga or meditation may help during this time. Both are known to improve physical and mental flexibility, ease symptoms of stress/anxiety and help with weight loss.

When going through the change of menopause or dealing with unusual life circumstances, prioritizing your own mental and physical health becomes even more important.

How to support your partner during menopause

What’s always lost in the medical model of menopause is the role and impact on the non-menopausal partner if they exist.

‘Put the oxygen mask over your own face first’

Loneliness in menopause can be a significant complicating factor and indeed loneliness in general is psychologically and physiologically distressing. It’s a major mortality issue in later life. Experiencing love and compassion from others is crucial to our health and especially so when we possibly experience major stressors.  It can be difficult though for an intimate partner watching their loved one suffer and also behave in anti-social ways towards them.

Psychological distress is rarely if ever pro-social and pleasant and if your loved one does experience psychological distress during menopause it’s important to look to your own needs. Utilising the ‘put the oxygen mask over your own face first’, advice you get when you fly.

Reach out for psychological support

If you have a history of post-natal depression, previous periods or major depression, anxiety disorder, eating disorder, bi-polar, addiction issues then it’s a good idea to think about your psychological support needs if you are peri-menopausal.

Simply put, your body/psyche may go through significant stress during this time and especially if it’s prolonged. Stress can and does cause relapse of previous problems. Planning for the possibility of a relapse and doing preventative work is always sensible. Waiting till you’re in a hole is never sensible. Prevention doesn’t mean you won’t have a relapse, but it will always mean that your relapse will be better managed, less intense, and less damaging.

Noel, comments: “Menopause is a major life change and a biological transition for women with a functioning uterus. It’s often presented as a series of symptoms from a very medical point of view, but it is of course something that is subjectively experienced and happens in wider social, cultural, political, and psychological context.

“Defining a woman by her ability to bear children is increasingly seen as reductionist and biologically as well as culturally and politically suspect. The meaning of menopause has in this context shifted quite radically over the past few decades.”

Noel McDermott is a Psychotherapist with over 25 years’ experience in health, social care, and education. He has created unique, mental health services in the independent sector. Noel’s company offer at-home mental health care and will source, identify and co-ordinate personalised care teams for the individual. They have recently launched a range of online therapy resources to help clients access help without leaving home.

This article is not intended as a substitute for the medical advice of physicians. The reader should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention.