Menopause making you anxious? Try our 5 tips

Catherine O'Keeffe.

Anxiety can be devastating for some women in perimenopause and beyond. Perimenopause and wellness coach Catherine O'Keeffe of shows you 5 ways to stop anxiety from taking over.

Anxiety can peak in perimenopause, the path to dissolving its power over you is to understand your anxiety and your triggers.

Anxiety can peak in perimenopause, the path to dissolving its power over you is to understand your anxiety and your triggers.

What is Menopause Anxiety?

One of the biggest issues that raises its head in perimenopause is anxiety, it slowly builds over time until it reaches epic proportions if you have not noticed or started to deal with it…it’s that day when you wake up and have this strange feeling in your body, you feel unsettled and don’t know why, you feel off kilter and anxious when there may not be anything to be anxious about. Then your heart starts to beat faster, your psalms get sweaty, your mouth goes dry etc…. the physical symptoms are endless and differ for everybody. No two women will experience menopause in the same way. One may experience anxiety another may not but may be plagued with hot flushes, no set symptoms for this chapter in our lives.

There are many different forms of anxiety that can exist with Health Anxiety, Panic Attacks and Generalized Anxiety Disorder probably the most common experienced by women in perimenopause. Often women don’t realize this is related to menopause and put it down to other life events but more often than not in your mid-late 40’s the hormonal rollercoaster kicks off an anxiety ride that is far from fun. Personally I see this coming on slowly over time with women, it’s not something that happens in a short space of time but very gradually over a year or more….daily life events that may never have caused you to stop and think now fill you with dread. It is very common to hear women say they get anxious driving on the motorway, they get anxious going out to social events, doing the shopping etc.

As Ulrika Johnsson stated when talking about menopause …’ and then came the most unimaginable anxiety that I’ve not known before. Anxiety, like, proper panic - at one stage I thought my head was going to explode, just anxiety over the tiniest thing, and then you become even more scared because you're anxious."

Thankfully as menopause is now being talked about more openly it’s becoming more obvious the levels of anxiety that women experience at this life stage.

How to Reduce Anxiety at Menopause - 5 Top Tips

1. Replenish:

Incorporate some form of relaxation into your daily habits which will help you feel calmer and more relaxed, think of it as your daily self-care ritual. To deal with anxiety you need to do the work upfront so that it’s easier when anxious moments strike, you will then be able to calm yourself down easier

2. Exercise:

Like nutrition is one of the cornerstone of a less anxious life. The benefits of exercise are well documented and numerous ranging from enhanced cardio vascular health, improved sleep, release endorphins which are natural anti-depressants and burns off the stress hormone adrenaline. Consider the various forms of exercise readily available to you and decide on one that you can slowly add into your life and one that brings you joy.

3. Good Food: 

Look at your diet and how rich it is in vital nutrients, magnesium , the B’s , vitamin C to name but a few. Try and get as much fresh fruit and vegetables into your diet as you can and where possible opt for organic. It’s not just you are what you eat, it’s also you are what your food eats. So aim for wholesome food little and often.

Look at your caffeine intake: there are numerous studies which show that caffeine increase feelings of anxiety and don’t just think coffee, this extends to tea and chocolate too. Look for alternative drinks ideally herbal teas, water, juices etc

4. Vitamin D:

Essential to ensure optimum brain function and we all need to supplement this into our diet every day.  For years we have associated Vitamin D with stronger bones and teeth (due to its ability to help absorb calcium), it is now well known that Vitamin D plays a key role in both sex hormone production (when women are deficient in vitamin D, it reduces estrogen levels) and mood. A lack of Vitamin D diminishes the body's ability to produce feel-good brain chemicals including serotonin and dopamine, as such it is an essential aid to help reduce anxiety. So make sure you have it in your daily food and/or supplement, food sources include fatty fish like mackerel and salmon, egg yolks, shiitake mushrooms, cheese and foods fortified with vitamin D. Getting out in fresh air will also provide some Vitamin D but not enough on a daily basis. It is worthwhile at your next bloods check up to also have your Vitamin D checked (in Ireland this has become a standard addition to blood tests).

5. Keep a Gratitude Journal:

I’m a great believer in the power of being thankful and it only takes a few minutes a day to jot down 3-5 things that you are grateful for, it is just a nice thing to do!

Please note: If you are experiencing panic attacks and palpitations, do get them checked out by your GP or other health professional, low iron can be a cause of both.

Catherine O'Keeffe has a lifelong interest in health and became interested in all things perimenopause about 4 years ago. She says: "I understand the rollercoaster ride of perimenopause as I’m currently on that journey myself…and it is a challenge! I’m constantly researching ways to ensure optimum energy, vitality and emotional wellbeing whilst in this life transition. As a health & wellness coach, I help women overcome their challenges and I share my knowledge and what is working for me and for others. I will empower you to find the strategies that work for you to achieve optimum wellbeing – as every woman’s journey is different. It is becoming more widely understood that perimenopause and menopause do not adhere to a specific list of symptoms: women's experiences vary widely and so do the solutions to help manage difficult symptoms, every woman’s experience is unique."

Catherine is the author of Beyond Anxiety.

You can contact Catherine at to arrange your own health and wellness coaching session.


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