Young girls undergo transforming changes in their bodies after their menarche; likewise, menopause is a significant life stage that calls for greater awareness and care. It is the end of a woman’s menstrual cycle, typically occurring between the ages of 45 and 55. Everyone has heard of the term 'menopause', but many are not aware of the mental and behavioural changes that follow.

Dr Namrata Singh Chhetri, co-founder and psychologist at Mindwell Solutions, talks about the shifts women go through during menopause and how to cope with them.

What kind of changes in behaviour and moods can be seen in women going through menopause?

Menopause is not simply a medical shift but also an emotional transformation that can significantly damage a woman’s mental state. During this time, many women suffer emotional ups and downs that may appear difficult to manage. Some become emotional while others experience anxiety, anger, restlessness, or emotional exhaustion without realising why.

Every day tension can start to feel heavier than usual. In certain circumstances, women grow quieter and more reclusive because they believe no one understands what they are feeling inwardly. These emotional shifts are frequently linked to hormonal imbalance, changing life circumstances, and the pressure women continue to bear despite their emotional difficulties.

Behavioural changes may also occur gradually. They may lose interest in previously favoured hobbies or have difficulty concentrating and remembering information. Women who were once socially active may now avoid gatherings because they feel emotionally drained or misunderstood. Others may become more impatient or feel overwhelmed by responsibilities they previously handled effortlessly. These changes are not attention-seeking behaviour but rather normal responses to hormonal alterations within the body.

How can family members better support women experiencing emotional distress during menopause?

Family support can alleviate emotional suffering in ways that many people are unaware of. Women going through this stage require compassion, kindness, and emotional understanding from those around them. Listening quietly, providing emotional comfort, and avoiding harsh criticism can all help women feel emotionally secure throughout this tough shift. Rather than disregarding emotional reactions as “mood swings”, family members should attempt to grasp the deeper emotional issues that women may be experiencing.

Family members should try to foster a peaceful environment at home. Sharing household tasks, spending time together, and encouraging open conversations might help to alleviate feelings of loneliness. Partners should be aware that emotional reactions are not purposeful and are caused by physical and mental changes that occur throughout menopause. Women who feel supported by their loved ones are more likely to handle emotional stress in healthier and more confident ways.

How closely are sleep disturbances during menopause linked with mental health issues like stress and depression?

Sleep problems and mental health issues during menopause are closely connected. Hormonal changes frequently disrupt sleep habits, resulting in insomnia, discomfort, or repeated awakening during the night. When sleep becomes irregular over time, emotional health suffers as well.

Inadequate sleep can exacerbate feelings of stress, irritation, anxiety, and depression. Continuous sleep deprivation may significantly increase the risk of depression if left untreated for too long. Good sleep is critical for emotional healing, and improving sleep patterns can frequently help women feel mentally stronger and emotionally calmer during menopause.

Are there some healthy coping mechanisms to treat these changes?

Several healthy coping strategies can be used to deal with menopausal emotional changes. Maintaining physical activity is one of the most effective approaches to achieving emotional balance. Exercise naturally reduces stress and enhances positive energy levels.

Mindfulness, meditation, and yoga can also help alleviate anxiety and emotional strain. Spending time with supportive friends, pursuing interests, and keeping social relationships might help avoid feelings of loneliness and emotional isolation. Self-compassion is the most significant coping strategy. Women should give themselves time to relax, recover, and adapt without feeling guilty or under pressure.

Can untreated menopausal mental health issues affect women’s work life, relationships, and self-esteem in the long term?

Yes, untreated mental health problems during menopause can result in long-term emotional and social problems. Constant worry, anxiety, and emotional tiredness can undermine a woman's confidence and ability to perform well at work. Many women may experience mental burnout or emotional disconnection from their professional goals.

Personal relationships might also suffer if emotional issues are not appropriately addressed. Miscommunication, irritation, and emotional distance can gradually weaken family relationships and friendships.

Women who continue to suffer silently may develop low self-esteem and self-doubt. They may begin to question their worth, appearance, or purpose in life. This is why emotional support during menopause should not be overlooked. Menopause should never be viewed as a period that women have to tolerate. With the proper support and compassion, women may pass through this time with strength, dignity, and emotional stability.