Perimenopause and menopause can cause anxiety for many people. These phases bring significant hormonal changes, particularly fluctuating estrogen and progesterone levels, which can affect brain chemistry and mood regulation. As a result, you may experience increased feelings of worry, nervousness, or panic during this time.
In addition to hormonal shifts, other symptoms common in perimenopause can worsen anxiety. Hot flashes and difficulty sleeping can disrupt daily life and increase stress levels. Stressors common in midlife, such as caregiving responsibilities, health concerns, and fears about aging, can also add to the emotional burden during this time.
Some research suggests that people with low anxiety before perimenopause may be more vulnerable to increased anxiety during and after menopause, whereas those with preexisting high anxiety do not necessarily experience worsening symptoms tied directly to menopause.
Anxiety symptoms often decrease in intensity once you reach menopause, which occurs when you have not had a period for 12 consecutive months. Hormone levels tend to stabilize during this phase, which can bring relief from mood fluctuations and anxiety.
However, some people may continue to experience anxiety well into postmenopause, especially if they have underlying mental health conditions.
Lifestyle changes such as regular exercise, mindfulness meditation, and adequate sleep can improve overall mood and reduce anxiety symptoms. Cognitive behavioral therapy (CBT) can help you identify and change negative thought patterns contributing to anxiety.
In some cases, healthcare professionals may recommend antidepressants or anti-anxiety medications. Hormone therapy may also relieve anxiety, although it isn’t a standard treatment for anxiety alone.
It’s important to discuss the risks and benefits of these treatments with a healthcare professional to find the best approach for you.