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Menopause, anxiety and low mood

Feeling anxious, flat or not yourself is one of the most common reasons people come to us.

Why it happens

Oestrogen and progesterone affect brain chemistry, so swinging and falling levels can bring anxiety, irritability, tearfulness, low mood and loss of confidence, often alongside poor sleep that makes everything harder.

What helps

When mood symptoms are part of perimenopause or menopause, NICE guidance suggests considering HRT, and CBT. Antidepressants are not recommended as the first treatment for low mood caused by menopause alone, though they are the right choice for depression and some other situations. We take the time to work out what is driving your symptoms.

If you need help now

If you feel unable to keep yourself safe, call 999 or go to A&E. You can also call NHS 111 and choose the mental health option, or call Samaritans free on 116 123, any time.

Want advice that fits you? Every menopause is different.

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