Understanding Emotional Wellbeing in Perimenopause & Menopause
Many people in perimenopause and menopause experience disrupted sleep due to hot flashes, night sweats, or insomnia. Sleep is not just rest — it’s when your brain and body reset.
Emotional regulation: Without enough sleep, the brain’s emotion center (the amygdala) becomes overactive, making you more reactive to stress and negativity.
Stress hormone build-up: Poor sleep raises cortisol, the body’s stress hormone, leading to feelings of anxiety and tension.
Concentration & memory: Sleep loss disrupts the hippocampus, affecting memory, focus, and problem-solving — often described as “brain fog.”
Mood vulnerability: Consistent poor sleep can double the risk of developing depression or anxiety.
Tip: Build a bedtime routine, keep your bedroom cool, and limit caffeine/alcohol in the evening to help regulate sleep cycles.
Fluctuating hormones during perimenopause can trigger rapid mood changes — feeling fine one moment, irritable or tearful the next.
Neurotransmitter impact: Estrogen and progesterone affect serotonin, dopamine, and GABA — chemicals that stabilize mood. When these hormones fluctuate, it can feel like emotional “ups and downs” come out of nowhere.
Increased reactivity: Irritability and frustration may feel harder to control, which can strain relationships or self-confidence.
Overlap with life stress: Mood swings often happen during a stage of life already full of challenges (career demands, parenting teens, aging parents), making emotions harder to manage.
Pause & Name It: “This is a mood swing, not the whole of me.”
Normalize It: “These feelings are part of hormonal changes. They will pass.”
Self-Compassion: “I’m having a hard moment. That doesn’t mean I’m failing.”
De-personalize Reactions: “I’m more sensitive right now. It’s not about the other person.”
Ground in the Present: “Right now I am safe. I can handle this one step at a time.”
Shift Perspective: “I don’t need to solve everything in this moment. I can return to this later.”
Kind Reassurance: “I’ve felt this way before and it passed. It will again.”
✨ Tip: Write your favorite self-talk statements on sticky notes, in a journal, or in your phone for easy reminders.
Estrogen, progesterone, and testosterone don’t just influence reproduction — they play a direct role in mental wellbeing.
Estrogen: Helps regulate serotonin and dopamine, which boost mood and reduce anxiety. Drops in estrogen can increase vulnerability to depression, worry, and low motivation.
Progesterone: Has a calming effect on the brain through GABA receptors (the same ones targeted by anti-anxiety medications). Lower progesterone may contribute to insomnia, restlessness, and irritability.
Testosterone: Supports energy, motivation, and confidence. Declines can contribute to low mood, fatigue, or decreased sense of drive.
When hormones shift together: The body may feel “off balance,” making stress responses sharper and recovery slower. This can intensify anxiety and make coping strategies that once worked feel less effective.
Talking with a counsellor or therapist during perimenopause and menopause can provide powerful support:
A safe space to express emotions without judgment.
Coping tools for managing anxiety, mood swings, and stress.
Perspective shifts to help you navigate life changes, identity transitions, and relationships.
Validation & normalizing of your experiences, reducing feelings of isolation.
Strategies for sleep, boundaries, and self-care tailored to your unique situation.
Support for partners and families, helping them understand what you’re going through.
✨ Counselling is not about “fixing” you — it’s about strengthening your resilience and providing guidance as you navigate this life stage.
Lack of sleep → higher stress response, brain fog, lower emotional resilience.
Mood swings → unpredictable emotions, relationship stress, feeling out of control.
Hormone imbalances → chemical changes in the brain that can worsen anxiety and depression.
Counselling support → tools, strategies, and a safe space to regain balance.
These are interconnected: poor sleep worsens mood swings, mood swings increase anxiety, and hormone fluctuations fuel both. The good news? With support, awareness, and the right strategies, balance is possible.
Reach out to a professional if you experience:
Persistent sadness, hopelessness, or loss of interest in daily life.
Intense anxiety or panic attacks.
Difficulty functioning at work, in relationships, or at home.
Thoughts of harming yourself.
📞 If you ever feel unsafe, call 911 or your local crisis line immediately.
Menopause is a natural transition, not a personal failing. With the right tools and support, emotional balance and wellbeing are possible. You are not alone, and help is available.
Perimenopause and menopause are natural stages in life, but they can bring big changes to how a woman feels — both physically and emotionally. Partners play a powerful role in offering support and helping create stability at home.
Hormone fluctuations (estrogen, progesterone, testosterone) affect brain chemicals that regulate mood.
Sleep problems (hot flashes, night sweats, insomnia) increase irritability, worry, and fatigue.
Life stressors (work, caregiving, parenting, identity shifts) often overlap with this stage, making emotions harder to manage.
These changes can cause:
🌪 Mood swings (irritability, frustration)
🌧 Low mood or sadness
💨 Anxiety or restlessness
😴 Fatigue and low energy
🔍 Brain fog or forgetfulness
Her mood shifts are not about you — they’re linked to her body’s changes.
She may be more sensitive, tired, or in need of space.
Your support can ease her stress, improve your connection, and make the transition smoother for both of you.
Listen & Validate
Say things like: “I hear you,” or “That sounds really hard.”
Avoid minimizing (e.g., “It’s just hormones”) — instead, acknowledge the reality of her experience.
Be Patient
Mood swings are temporary, even if they feel intense in the moment.
Don’t take irritability personally.
Practical Support
Share household responsibilities more equally — fatigue is real.
Encourage healthy routines: walks, balanced meals, downtime.
Offer to adjust temperature, blankets, or fans to help with night sweats.
Emotional Connection
Offer affection (ask first if she’s in the mood).
Spend time together in ways that reduce stress — walking, watching a show, laughing together.
Ask what she needs instead of guessing.
Respect when she needs rest or quiet time.
Be her teammate in problem-solving (doctor visits, exploring treatment options).
Encourage, don’t pressure.
Remind her: “I’m here with you. We’ll get through this together.”
Perimenopause and menopause can feel overwhelming, but they don’t last forever. Your patience, care, and understanding can make a world of difference in how supported and loved your partner feels during this transition.
As women get older, their bodies go through a stage called perimenopause and later menopause. These changes affect both the body and the mind.
Hormone changes affect mood, energy, and sleep.
This can make her:
More tired than usual
Irritable or more emotional
Stressed or anxious at times
These changes are not about you — they’re part of her body’s natural transition.
Sometimes Mom might need extra space or rest.
Her reactions might feel stronger than before, but they don’t change her love for you.
It’s normal if this feels confusing, frustrating, or even unfair — you’re allowed to have feelings about it too.
How You Can Help 💡
Show patience and understanding when she seems overwhelmed.
Keep communicating — ask questions if you’re unsure what’s going on.
Take small steps to support her, like helping with chores or giving her space when she asks.
Remember: taking care of yourself is important too.
“My moods are influenced by my body, not by you.”
“Even when I’m stressed, I always love and value you.”
“This is temporary — things will even out.”
“We can get through this stage together as a family.”
✨ Message from Mom: Thank you for being patient with me. Your support and love mean more than you know.
Sometimes moms go through a change in their bodies called perimenopause or menopause. It’s kind of like when kids grow — your body feels different as it changes
Mom’s body makes special “messengers” called hormones. They can change her sleep and feelings.
Because of this, sometimes she might:
😴 Feel very tired
🌪 Get upset more quickly
🌧 Feel sad or worried
If Mom seems grumpy, it’s not your fault.
Even when she’s tired or quiet, she still loves you very much.
Her moods are like clouds — they come and go.
Give her a hug or a smile — it really helps.
Be patient if she asks for quiet time.
Do something kind, like drawing a picture or helping around the house.
“I love you no matter what.”
“My moods are not because of you.”
“This is a normal stage of life and it won’t last forever.”
✨ Message from Mom: Even when I feel tired or cranky, you make me happy. Your love helps me so much.
Common after birth; affects many new parents.
Shows up as racing thoughts, “what ifs,” intrusive images, constant worry, or body tension.
You are not alone and you are not failing.
Anxiety = Overestimation of Threat + Underestimation of Coping
✔ ️ When anxiety is high, our brain makes the problem feel bigger and our ability smaller.
✔️ To reduce anxiety, we work on:
Seeing the situation more realistically (is this a true danger or just a “what if”?)
Strengthening coping skills (breathing, grounding, support).
1. Breathe 3–3–3
Inhale for 3, hold for 3, exhale for 3. Repeat 5 times.
2. Ground with Your Senses
Name 5 things you see, 4 things you feel, 3 things you hear, 2 things you smell, 1 thing you taste.
3. Move It Out
Stretch, walk, shake out arms and legs. Anxiety often needs a physical release.
4. Gentle Self-Talk
“This is anxiety, not danger. I am safe at this moment.”
Notice when you’re stuck in “what if” spirals or endless checking.
Limit reassurance-seeking (like googling symptoms).
Ask: “Is this helping me cope or feeding anxiety?”
Every time you ride the wave of anxiety without giving in, you build confidence.
Remind yourself:
“I can feel anxious and still be a good parent.”
“I don’t have to believe every anxious thought.”
“I am learning to trust myself.”
If anxiety feels overwhelming, constant, or interferes with daily life—please talk to a healthcare provider, counselor, or trusted support. You deserve help and support. 💜
🌸 Remember: You are not alone, you are stronger than you think, and you can cope
A Guide for Partners & Loved Ones
Common and not their fault.
Can look like: racing thoughts, constant worry, repeated checking of baby, sleeplessness, physical tension.
Their nervous system is on “high alert” — they’re not just “overreacting.”
Anxiety = Overestimation of Threat + Underestimation of Coping
When your partner is anxious:
Their mind magnifies possible dangers (“What if the baby stops breathing?”).
Their ability to cope feels much smaller than it actually is.
👉 As a partner, your role is to help gently rebalance this equation by:
Grounding them in reality (calm presence, reassurance once, then redirect).
Reminding them of their coping strengths (“You’ve gotten through this before, you can again.”).
✔️ Listen & validate: “I can see this feels big right now. I’m here with you.”
✔️ Stay calm: Your nervous system helps regulate theirs.
✔️ Encourage healthy coping: suggest a breath, walk, shower, or short rest.
✔️ Remind them gently of strengths: “You’ve handled this before.”
It’s easy to accidentally make anxiety stronger.
Common traps for partners:
Reassurance loops: They ask, “Is the baby okay?” and you check over and over. Short-term it calms, but long-term it keeps anxiety in charge.
Endless “what if” conversations: Trying to solve every imagined problem.
Joining compulsive checking/googling: Instead, offer one calm check or redirect to grounding.
Instead try:
Give reassurance once, then gently shift focus: “We checked, and everything looks safe. Let’s try a calming breath together.”
Help bring them back to the present moment instead of the “what ifs.”
Support practicing coping strategies instead of fueling anxious behaviors.
Do grounding or breathing side by side.
Take short walks together — movement helps regulate.
Share caregiving tasks so they can rest or reset.
Ask: “What feels supportive right now — listening, distraction, or help with something practical?”
Celebrate small wins (“That was hard, and you rode it out.”).
Remind them: “We’re in this together. You don’t have to do it alone.”
Encourage professional support if anxiety feels constant or overwhelming.
🌸 Remember: Your steady support can help them feel safer and less alone. Every time you stay calm, avoid feeding anxiety, and remind them of their strengths, you’re helping them heal.
How to Support Your Spouse Without Trying to Fix Them
🫶 Companioning Your Partner Through Emotional Pain
How to Support Your Spouse Without Trying to Fix Them
What is Companioning?
Companioning is about walking alongside your spouse through their emotional experience, not leading, fixing, or rescuing. It’s rooted in respect, presence, and empathy.
“Companioning is about being present to another person’s pain; it is not about taking away the pain.” – Dr. Alan Wolfelt
Core Principles of Companioning
1. Be Present, Not Prescriptive
Instead of: “You should try...”
Try: “I’m here with you. Tell me more.”
2. Listen More Than You Speak
Use silence, nods, and gentle affirmations like:
● “That sounds really heavy.”
● “I’m so sorry you’re feeling this way.”
● “I’m listening.”
3. Honor Their Experience
Your partner’s emotions are valid—even if you don’t fully understand them. Resist the urge to compare or explain them away.
4. Resist the Fix-It Reflex
Your role is not to solve but to witness. Let them know they’re not alone in what they’re going through.
5. Create a Safe Container
Your calm presence and unconditional love help them feel secure. Turn off distractions. Be fully there.
6. Let Them Set the Pace
Some days they may want to talk, other days not. Respect their rhythm and offer check-ins like:
“Would you like to talk, or would you like some quiet togetherness today?”
7. Don’t Take Their Emotions Personally
If they’re frustrated, sad, or overwhelmed, remember: You don’t need to carry their feelings—only hold space for them.
Simple Companioning Phrases
● “That makes a lot of sense.”
● “I’m here with you—no rush to figure this out.”
● “It’s okay to feel this.”
● “What do you need from me right now?”
● “You don’t have to go through this alone.”
A Quick Reminder:
Being a companion means showing up with presence, not perfection.
Even when you don’t know what to say, your willingness to be with your spouse in their struggle is the most healing thing you can offer.
✨ When in Doubt, Ask:
“Do you want me to just listen, or are you looking for support or ideas?”
For You, Too:
Supporting someone emotionally can be intense. Be kind to yourself. You also deserve rest, understanding, and support.