Neuroasthenia: Is Menopause the Cause of My Mother's Symptoms?

Q: Neuroasthenia: Is Menopause the Cause of My Mother's Symptoms?

Hello Fangfang： Women in menopause are indeed more prone to anxiety, depression, and other emotional disorders. <br>Based on your description, your mother's discomfort includes insomnia, worries, heightened startle response, low mood, and feelings of hopelessness, along with phys

Neurasthenia!

Hello Doctor, I would like to ask about my mother's condition.
She is 55 years old, and I'm not sure if her poor sleep quality is related to menopause.
Additionally, she has a sensitive personality, which leads to increased worries, especially since she has to take care of four children! My mother usually handles household duties and doesn't have much leisure time to relax and recharge.
Recently, she received a phone call from a scam group, which startled her, and as a result, her mood has been quite low, even leading to thoughts of hopelessness.
Two days ago, she suddenly felt dizzy and almost fainted; a nearby clinic diagnosed her with neuroses.
Could her condition be related to menopause? What solutions are available? Thank you for your help!

Fangfang, 20~29 year old female. Ask Date: 2007/01/30

Dr. Lin Yuzhong reply Psychiatry

Hello Fangfang: Women in menopause are indeed more prone to anxiety, depression, and other emotional disorders.
Based on your description, your mother's discomfort includes insomnia, worries, heightened startle response, low mood, and feelings of hopelessness, along with physical symptoms such as dizziness and fainting.
To facilitate understanding, clinic physicians often refer to this as "neurasthenia." The symptoms you mentioned seem to be more severe than typical emotional symptoms associated with menopause.
Therefore, the immediate step is to confirm your mother's menopausal status.
Additionally, I recommend that you take her to see a psychiatrist for a proper diagnosis and appropriate treatment.

Reply Date: 2007/01/30

More Info

Your mother's situation is indeed concerning and multifaceted, and it appears to involve a combination of factors that could be contributing to her symptoms. At 55 years old, she is likely experiencing perimenopause or menopause, which can significantly affect mood, sleep, and overall mental health. The hormonal fluctuations during this time can lead to symptoms such as insomnia, anxiety, and even depressive feelings.
Neuroasthenia, which you mentioned, is a term that historically referred to a condition characterized by fatigue, anxiety, and somatic complaints, often linked to stress and emotional strain. While it is not a formally recognized diagnosis in many modern medical frameworks, the symptoms you describe—such as poor sleep, anxiety, and feelings of hopelessness—are certainly valid and warrant attention.

Your mother's responsibilities as a caregiver for four children, coupled with her lack of personal time for relaxation and self-care, can create a significant emotional burden. The recent incident with the scam call may have exacerbated her stress levels, leading to feelings of vulnerability and anxiety. These factors combined can contribute to a state of emotional distress that may manifest as neuroasthenia or similar symptoms.

It's important to consider that while menopause can contribute to mood swings and anxiety, it may not be the sole cause of her current state. Other factors, such as chronic stress, lack of social support, and potential underlying mental health conditions, could also play a role. The feelings of hopelessness and the thought of wanting to escape from her situation are particularly concerning and suggest that she may be experiencing a depressive episode.

In terms of solutions, it is crucial for your mother to seek professional help. A healthcare provider can evaluate her symptoms more thoroughly and may recommend therapy, medication, or lifestyle changes. Cognitive-behavioral therapy (CBT) can be particularly effective for anxiety and depressive symptoms, helping her to develop coping strategies and address negative thought patterns.

Encouraging her to engage in self-care activities is also essential. This could include finding time for hobbies, exercise, or relaxation techniques such as yoga or meditation. Social support is vital, so fostering connections with friends or family members can help alleviate feelings of isolation.

Additionally, it may be beneficial for her to consult with a gynecologist or a specialist in women's health regarding her menopausal symptoms. Hormone replacement therapy (HRT) or other treatments may be appropriate depending on her specific situation and health history.

In summary, while menopause may be a contributing factor to your mother's symptoms, it is essential to consider the broader context of her life and mental health. Seeking professional help and encouraging self-care practices can significantly improve her quality of life and emotional well-being. It’s important to approach this situation with empathy and support, as navigating these challenges can be overwhelming for both her and your family.

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