Menopause-Related Mental Health Issues and Solutions

Q: Menopause-Related Mental Health Issues and Solutions

Hello, Banfu： Your mother is likely suffering from depression, which requires medical treatment. <br>Depression can be accompanied by delusions and other psychiatric symptoms, and it indeed necessitates pharmacological intervention. <br>Sensitivity to medications can be discussed

Concerns about menopause

My mother is 55 years old.
According to her, last year was the most severe period for her menopausal symptoms, including menopause, night sweats, and insomnia.
On the other hand, my father underwent cancer treatment last year, and during this time, my mother suddenly developed persecutory delusions, believing that our neighbor was trying to harm her.
She has a strong aversion to hospitals and dislikes taking medication (she feels it has side effects).
Recently, her insomnia has not improved, and she claims that the medication for menopause causes bloating and diarrhea, so she wants to stop taking it.
Since then, my mother has lost interest in everything and has become very conservative in her attitude.
She lacks motivation to engage in activities, and she appears troubled every day.
My father feels very distressed watching her, especially since her thoughts can be quite closed off, and she does not necessarily listen to the advice given to her.
I would like to ask a few questions:
1.
Is my mother's condition indicative of depression associated with menopause? How can we help her?
2.
With the combination of persecutory delusions and anxiety, my father feels unsure of how to proceed.
Some medications cause her diarrhea, and she complains incessantly, refusing to take them.
How can we resolve this? Is it possible that her anxiety is leading to autonomic nervous system dysregulation, resulting in gastrointestinal issues?
3.
Her insomnia has not improved; she naps during the day, has shallow sleep at night, and wakes up around two or three in the morning.
How long can this situation typically last before improvement occurs? I notice that my mother appears fatigued during the day and speaks weakly.

Banfu, 20~29 year old female. Ask Date: 2006/07/17

Dr. Chen Wenyu reply Psychiatry

Hello, Banfu: Your mother is likely suffering from depression, which requires medical treatment.
Depression can be accompanied by delusions and other psychiatric symptoms, and it indeed necessitates pharmacological intervention.
Sensitivity to medications can be discussed with the physician to choose options with fewer side effects.
Insomnia, along with daytime sleeping, creates a vicious cycle where one does not sleep at night.
However, depression, psychosis, and insomnia are all symptoms of the underlying illness.
In summary, it is essential to seek evaluation and treatment from a psychiatrist.
Thank you for your letter!

Reply Date: 2006/07/17

More Info

Menopause is a significant transition in a woman's life, often accompanied by various physical and psychological symptoms. Your mother's experience at the age of 55, including hot flashes, insomnia, and changes in mood, is not uncommon. The interplay between menopause and mental health can be complex, and it is essential to address these issues holistically.

1. Menopause and Depression: Your mother's symptoms may indeed suggest a form of depression related to menopause. Hormonal changes during this period can lead to mood swings, anxiety, and depressive symptoms. The fluctuation of estrogen levels is known to affect neurotransmitters in the brain, which can contribute to feelings of sadness or irritability. To help her, consider encouraging her to consult with a healthcare professional who specializes in menopause and mental health. Cognitive Behavioral Therapy (CBT) can be particularly effective in addressing negative thought patterns and improving mood. Additionally, lifestyle changes such as regular exercise, a balanced diet, and mindfulness practices can also help alleviate symptoms.

2. Paranoia and Anxiety: The paranoid thoughts your mother is experiencing, such as feeling that neighbors are out to harm her, could be exacerbated by anxiety and stress. It's possible that her anxiety is contributing to gastrointestinal issues, as the gut-brain connection is well-documented. Stress can lead to symptoms like bloating and diarrhea, as the body’s stress response can affect digestion. It may be beneficial for her to explore non-pharmacological interventions, such as therapy or relaxation techniques, to manage her anxiety. If medication is necessary, discussing alternative options with her healthcare provider that have fewer gastrointestinal side effects might be worthwhile.

3. Insomnia and Sleep Quality: Chronic insomnia can significantly impact overall health and well-being. The duration of insomnia varies from person to person, but it is crucial to address it promptly. Sleep hygiene practices, such as maintaining a consistent sleep schedule, creating a comfortable sleep environment, and limiting screen time before bed, can help improve sleep quality. If her insomnia persists, a healthcare professional may recommend a sleep study or other interventions to identify underlying issues. In some cases, short-term use of sleep aids may be appropriate, but this should be closely monitored by a physician.

In summary, your mother's situation is multifaceted, involving menopause, potential depression, anxiety, and insomnia. It is essential to approach her care with compassion and understanding. Encourage her to seek professional help, as a tailored treatment plan can significantly improve her quality of life. Open communication within the family can also provide her with the support she needs during this challenging time. Remember, addressing mental health concerns is just as important as managing physical health, especially during significant life transitions like menopause.

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