Menopause:

Perimenopause is a natural biological transition marking the end of reproductive functioning, typically occurring between the ages of 45 and 55. It is associated with hormonal changes that can affect physical health, emotional wellbeing, cognitive functioning, and overall quality of life. While menopause itself is not a mental health disorder, the psychological and emotional effects can be significant and may contribute to increased stress, anxiety, low mood, sleep disturbance, and reduced confidence.

Many women report difficulties with concentration, memory, emotional regulation, and increased sensitivity to stress during this time. Changes in identity, work functioning, relationships, and self-perception can also contribute to emotional distress. These experiences may be further influenced by workplace demands, caring responsibilities, and other life transitions occurring at a similar stage.

During treatment, your therapist will work collaboratively with you to develop a shared understanding of your individual experience. This includes a detailed assessment and formulation to explore how psychological, behavioural, emotional, and environmental factors interact with physical and hormonal changes.

Cognitive Behavioural Therapy (CBT) is an evidence-based approach shown to be effective in helping women manage the psychological impact of menopause, including anxiety, low mood, sleep disturbance, and stress. CBT helps identify and modify unhelpful patterns of thinking and behaviour, improve coping strategies, and support emotional adjustment during this transition.

Acceptance and Commitment Therapy (ACT) supports the development of psychological flexibility, helping you respond more effectively to difficult thoughts, emotions, and physical sensations. This approach encourages acceptance of change where control is limited, while supporting meaningful engagement in valued areas of life.

A key focus of therapy during menopause involves making realistic and compassionate life adjustments in response to changes in mental and physical resources. This may include developing assertiveness skills, strengthening boundary setting at work and in relationships, managing expectations of self and others, and adjusting personal standards where necessary. Therapy also supports acceptance surrounding changes in body, identity, and life stage, helping you move through this transition with greater stability and self-understanding.

Treatment focuses on improving emotional wellbeing, restoring confidence, and developing sustainable strategies to manage both internal demands and external pressures during this phase of life.