Breaking the Silence: Coping with Anxiety During Menopause
- Counselling
- 15 minutes ago
- 3 min read
Menopause marks a significant transition in a woman’s life, both physically and emotionally. While hot flushes, night sweats, and hormonal shifts are widely recognised, anxiety during menopause is often overlooked. For many women, this stage brings unexpected emotional challenges, including heightened worry, panic attacks, and a general sense of unease. At Equinox Counselling, we believe it’s time to break the silence around menopause and acknowledge the very real mental health challenges that can accompany it.
Understanding Menopause-Related Anxiety
Menopause typically occurs between the ages of 45 and 55, but symptoms may begin earlier during perimenopause. This hormonal transition causes a significant drop in oestrogen levels, which can affect serotonin production—the brain chemical responsible for regulating mood and emotions.

Common symptoms of menopause-related anxiety:
Persistent worry or overthinking
Panic attacks
Increased irritability or restlessness
Difficulty sleeping
Feeling overwhelmed or emotionally sensitive
Difficulty concentrating or brain fog
These symptoms can arise suddenly and feel unfamiliar, especially for women with no prior history of anxiety.
Why Is Anxiety So Common During Menopause?
Hormonal fluctuations are not the sole cause. Several life-stage stressors can compound anxiety symptoms, such as:
Caring for ageing parents
Navigating teenage children’s challenges
Facing career changes or retirement
Relationship changes or loss of identity
The combination of internal hormonal shifts and external pressures can create a perfect storm for anxiety during menopause.
Coping Strategies That Can Help
At Equinox Counselling, we help women navigate this life transition with empathy and proven therapeutic approaches. Here are effective ways to cope with menopause-related anxiety:
1. Talk About It
Breaking the silence starts with open conversation. Speak to a counsellor, join a support group, or talk to trusted friends or family. Sharing your experience helps reduce stigma and builds support.
2. Cognitive Behavioural Therapy (CBT)
CBT is highly effective for managing anxiety by helping individuals identify negative thought patterns and replace them with balanced, realistic ones. Many clients find CBT empowering during menopause.
3. Mindfulness and Relaxation Techniques
Practices like deep breathing, progressive muscle relaxation, and meditation help manage anxiety in the moment and improve long-term emotional resilience.
4. Regular Exercise
Exercise boosts serotonin levels and reduces cortisol (the stress hormone). Gentle activities such as yoga, walking, or swimming can greatly improve mental clarity and reduce anxiety symptoms.
5. Nutrition and Sleep
Stabilising blood sugar levels and ensuring sufficient rest can significantly influence mood and anxiety. Avoid caffeine, sugar, and alcohol, especially in the evenings.
6. Professional Counselling
Speaking to a trained therapist can make all the difference. We provide a safe, supportive space to process your experiences and regain a sense of control.
When to Seek Help
If anxiety is interfering with your daily life, relationships, or sleep, it’s time to seek help. You don’t have to suffer in silence, and you are not alone. With the right support, menopause can become a time of personal growth, strength, and self-discovery.
Final Thoughts
Menopause is not just a physical transition—it's an emotional one, too. By acknowledging and addressing anxiety, we empower women to move through this stage of life with confidence, clarity, and compassion.
At Equinox Counselling, we specialise in supporting women through menopause with evidence-based therapy and compassionate care. If you or someone you know is struggling, we’re here to help.
📍 Located in Weston-super-Mare – Equinox Counselling is here to support women through life’s transitions.
🌐 Visit: www.equinoxcounselling.co.uk
📞 Call us today to book a confidential consultation.
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