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Savvy Psychologist

Menopause and mental health: Why you're not losing your mind

Savvy Psychologist

Macmillan Holdings, LLC

Health & Fitness, Mental Health, Science, Self-improvement, Education

4.71.4K Ratings

🗓️ 16 April 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Menopause isn’t just a physical transition, it’s an emotional and mental minefield. In this episode, Monica dives into how fluctuating hormones impact mood, anxiety, sleep, and memory, and offers practical, science-backed strategies to feel more like yourself again. Spoiler alert: you’re not going crazy, and yes, brain fog is real.

Transcript

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0:00.0

Ah, menopause. The grand finale of our reproductive years. It's like puberty in reverse,

0:11.1

only with more hot flashes, random emotional breakdowns, and a strong desire to punch people

0:17.3

who chew too loudly. As a psychologist, I've had countless women sit on my

0:22.1

couch, fanning themselves dramatically asking, is it just me or am I actually losing my mind?

0:29.9

And I'm here to tell you, it's not just you. Welcome back to savvy psychologist. I'm your host,

0:40.5

Dr. Monica Johnson. Every week on this show,

0:47.4

I'll help you face life challenges with evidence-based approaches, a sympathetic ear, and zero judgment.

0:55.4

Menopause isn't just about physical changes. It's a hormonal rollercoaster that can take your mental health along for the ride. But don't worry, I'm here to explain why this happens, how it affects your brain, and what you

1:02.4

can do about it. All we'll try to keep a sense of humor, because if we don't laugh, we'll cry,

1:08.4

and we already do enough of that. Let's talk hormones. Menopause is

1:15.4

essentially a hormonal heist where estrogen and progesterone sneak out in the middle of the night,

1:22.0

leaving behind mood swings, brain fog, and sleep problems. These hormones aren't just for baby making. They also play a key

1:32.6

role in brain function, mood regulation, and cognitive sharpness. So when they start fluctuating

1:40.8

and eventually plummet, your brain starts acting like a Wi-Fi signal that keeps dropping.

1:47.6

So let's talk about estrogen and mood.

1:51.0

Estrogen has a VIP pass to your brain's serotonin and dopamine systems, your feel-good neurotransmitters.

1:59.1

Less estrogen means your brain produces less serotonin, which can lead to depression, anxiety,

2:06.6

and irritability.

2:08.6

Or, as I sometimes like to call it, why did this commercial about kittens make me sob syndrome?

2:15.6

Let's also talk about progesterone and mood and anxiety. This hormone is known

2:23.3

for its calming effect, like a warm cup of chamomile tea for your brain. When it dips, anxiety and

2:31.0

stress can skyrocket. Suddenly small things like forgetting where you put your keys

...

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