Menopause Mood Swings
What exactly constitutes a “mood swing” during menopause? Mood swings are simply rapid shifts in emotional state that change without warning. Mood swings can involve a range of emotions as brain chemistry becomes affected. Women most often experience a sudden shift to an extreme mood, only to shift back to normal again moments – or minutes – later.
Symptoms of Menopause Mood Swings
Menopause mood swings can strike out of nowhere. Women may feel a sudden surge of emotion, or may notice themselves engaging in heated exchanges or reactions that seem nonsensical in hindsight – particularly in regards to anxiety, sadness and anger. Mood swings during menopause may be accompanied by other menopause symptoms – such as hot flashes, fatigue or paranoia. Clarity of thought, sleep patterns, and ability to focus may also become affected by menopause mood swings.
An Overview of Mood Swings
Menopause is a difficult transitional period for middle aged women, and presents each woman with her own set of uncomfortable physical and mental symptoms, including mood swings. Because of the great change in a woman’s hormones that occurs during menopause, an emotional imbalance can leave her feeling upset and confused. With more than half of all menopausal women experiencing mood swings, they are a very common occurrence, but are nonetheless irritating and aggravating. However, there are different methods in which one can help to prevent or alleviate mood swings to have an easier and happier perimenopause and menopause.
About Mood Swings
A mood swing is a sudden, drastic change in one’s mood that if often inappropriate for the situation or is seemingly exaggerated. Women usually experience mood swings during menopause because of the hormonal changes that are occurring in their bodies. Because hormone have a direct influence on the regulation of mood and emotions, menopause can be a difficult time of emotional imbalance. Knowing the symptoms of mood swings can often help one to understand and prevent them.
Mood Swing Symptoms
Each woman will experience mood swings differently, but there are several symptoms that are common to many women’s mood swings during menopause. Some of these common symptoms might include:
- Frequent fluctuations in mood
- Inexplicable or inappropriate emotions
- Depression or sadness
- Less motivation
- Extreme, wild moods
- Irritability or aggression
- Lack of patience
- Increased amount of stress
- Anxiety or nervousness
Having a better understanding of the common symptoms one might experience from mood swings will better equip the menopausal woman to combat emotional imbalances and all they entail.
Causes of Mood Swings
Although menopausal mood swings are largely caused by a hormonal imbalance, as the levels of estrogen in a woman’s body decrease during menopause, there can also be other factors that can influence the development of mood swings in the menopausal woman. Other symptoms of menopause, such as hot flashes and night sweats, can sometimes increase the frequency or intensity of one’s mood swings, but these symptoms are usually also caused by a hormonal imbalance.
1. Hormonal Mood Swings
It has been discovered that estrogen, which decreases during menopause, has a great influence on the production of serotonin, an important mood
- Increased receptor sensitivity
- Increased receptor levels
- Increased serotonin production
Because of this direct influence that estrogen has on serotonin receptors, a hormonal imbalance can greatly affect one’s mood and emotions during menopause. Although a hormonal imbalance is a primary culprit of menopausal mood swings, there are several other possible causes, including other symptoms commonly experienced during menopause, which will be discussed next.
2. Menopausal Causes of Mood Swings
Experts believe that mood swings may also be the result of other symptoms experienced during menopause. Middle aged women often already experience a lot of stress from problems at home and at work, and other menopausal symptoms experienced during this time, such as hot flashes and sleep disruption, can cause the already stressed woman to experience mood swings. Some common menopausal causes of mood swings may include:
- Night sweats
- Hot flashes
- Physical and emotional changes
- Fatigue or sleep disruption
Mood Swing Risk Factors
Some women are more prone to mood swings during menopause than others. Because each woman has her own brain chemistry and environmental factors, the frequency and intensity of mood swings experienced can vary wildly from woman to woman. Other risk factors, including psychological, behavioral, and health related reasons, can also increase the chances of menopausal mood swings in certain women.
Psychological risk factors:
- Past or current mental illnesses
- Large amount of stress
- Past traumatic experiences
- Personal relationship problems
- Attempting to cope with change
Behavioral risk factors:
- Smoking cigarettes
- Alcohol consumption
- Unhealthy diet
- Inadequate or infrequent exercise
- Use of illegal drugs
Health related risk factors:
- Diabetes
- Early or medical menopause
- Heart disease or other heart issues
- Sleep disorders, such as insomnia
- Many types of cancer
- Thyroid malfunction
Extreme Cases of Mood Swings
While mood swings are a completely normal occurrence for the menopausal woman, severe emotional symptoms might indicate a possibly more serious condition. Mood swings that are extreme, last for an extended duration, or put a woman or others at risk of harm might warrant professional help. To learn more about when to seek help for mood swings, please read on about the symptoms of bipolar disorder, clinical depression, and anxiety.
Bipolar Disorder
Bipolar disorder is a group of mood disorders, also termed manic depressive disorder. They are characterized by wild fluctuations in one’s mood, including episodes of manic, elevated mood, alternated with episodes of extremely low, depressed mood.
The Phases of Bipolar Disorder:
- Extreme mania
- Hypomania (mild or moderate mania)
- Normal or balanced mood
- Mild or moderate depression
- Extreme depression
Clinical Depression
Clinical depression is another condition that can be much more serious than menopausal mood swings, and often required medical attention and treatment. While certain symptoms of clinical depression are experienced by menopausal women, actual depression can be a far more grave condition.
Anxiety Disorders
Anxiety disorders affect a large percentage of the US population, and can also be much more serious and consequential than menopausal mood swings. The disorders included within clinical anxiety are:
- Panic disorders
- Generalized Anxiety Disorder
- Social phobias
- ObsessiveCompulsive Disorder (OCD)
- Post Traumatic Stress Disorder (PTSD)
Although most women do not develop these serious conditions during menopause, there is excellent help available for those who do. If one is worried or concerned that their menopausal symptoms are increasing in intensity and may be more serious, it is wise to consult a medical professional.
Mood Swing Treatments
When treating mood swings, there is a three step method that should be followed, which involves an increasing level of treatment, from least risky to most risky.
- Lifestyle changes
- Natural treatments
- Drugs and surgery
A combination of simple lifestyles changes and natural herbs and supplements is often the most efficient and safest way to treat one’s menopausal mood swings. Adequate exercise and a healthy diet, combined with natural supplements that increase the body’s production of hormones, can be the most effective way to alleviate mood swings.
Behavioral and Environmental Risk Factors
A woman’s bad habits can have a huge influence on her development of menopausal mood swings. Behavioral risk factors for mood swings may include:
- Cigarette smoking
- Alcohol consumption
- Unhealthy diet
- Use of psychoactive drugs or illegal substances
- Insomnia or lack of sleep
A woman’s environment and any stress occurring within can also have an influence on her emotions and mood. Environmental risk factors may include major life changes such as:
- Death of a close friend or family member
- Children leaving (empty nest syndrome)
- Major illness
- New job or new location
Psychological Risk Factors
Many factors can influence a woman’s psychological health, and thus also influence her chances of experiencing mood swings during menopause. Women can be more prone to menopausal mood swings especially if they have experienced similar occurrences during other hormonal transitions, such as puberty. Emotional traumas that have occurred in the past can sometimes resurface during a woman’s menopausal years, often causing stress and confusion. This can, however, be a great chance to come to terms with past events and perhaps to gain a fresh perspective from which to understand oneself better. Other psychological stresses, such as personal relationship problems, family troubles, and work-related annoyances, can combine with any number of other distressing thoughts within a menopausal woman’s head, and can lead to emotional breakdowns and wild mood swings. One’s personality can also lead to an increased chance of suffering from mood swings, especially if one is introverted, pessimistic, or has low self-esteem. Psychological risk factors for menopausal mood swings may include:
- Past or current psychological trauma or abuse
- A history of psychological illnesses
- Stress at home or at work
- Problems with personal relationships
- Loneliness
- Personality traits such as introversion or low self-esteem
Health Related Risk Factors
Women who suffer from certain complications or diseases, or are in generally poorer health, tend to suffer from mood swings more often during menopause. One’s personal habits can also have an effect on personal health, such as over-consumption of things like sugar and alcohol. Disease related risk factors for menopausal mood swings might include:
- Diabetes
- Leukemia or other cancers
- Heart disease or palpitations
- Medical or surgical menopause
- Psychological illnesses
- Insomnia or other sleep disorders
- ADD/ADHD
- Thyroid malfunction
Many women also are prescribed many medications during their middle ages, some of which can increase the likelihood of mood swings occurring. Many medications also can cause one to develop a habit or dependence, which can result in even more stress for the menopausal woman. Medications that may increase the chances of mood swings include:
- Amphetamines (such as pseudoephedrine and Adderall)
- SSRIs (such as Fluoxetine)
- Sleeping medications (such as Zolpidem)
- Diet medications
- Cancer treatments (such as opiates and radiation therapy)
The Thyroid Gland’s Influence on Psychological Health
The thyroid gland is located near the throat and secrets endocrine hormones. These hormones regulate important functions such as metabolism, development, reproduction, and many more. Because the thyroid glands hormones have such an important niche in the body, they can have a great influence on one’s psychological health and all that it entails. A blood test can be performed by a doctor to determine if any thyroid problems exist that may be causing an increase in menopausal mood swings.
Mood Swings and Bipolar Disorder
Bipolar disorder (or manic-depressive disorder) is a set of mood disorders that are characterized by periods of ecstatic mania or extremely elevated emotions, followed by periods of depression or excessive episodes of melancholy.
Although menopausal mood swings are very similar in some ways to bipolar disorder, the mood swings associated with bipolar disorder are far more extreme and require medical treatment. In contrast, menopausal mood swings can usually be alleviated before professional help is warranted.
Bipolar disorder can be differentiated from normal, menopausal mood swings by the evaluation of several symptoms. For the bipolar individual, periods of a low mood will often cause these symptoms:
- Very low self-esteem
- Low energy and extreme fatigue
- Depression and possibly suicidal thoughts
- Less concentration
- Less interest in favorite activities
While experiencing episodes of a high mood, common symptoms might include:
- Ecstatic euphoria
- Excessive talking or chatter
- Rapid thoughts
- Abnormally high self-esteem
- High amount of energy
- Reckless or impulsive actions
- Little desire to sleep
- In extreme cases, hallucinations
If a woman’s mood swings seem more severe and have several of these characteristics, it may indicate bipolar disorder, especially if these symptoms interfere with normal functions of everyday life. If one experiences only the extremely depressive symptoms if bipolar disorder, it may indicate clinical depression.
Mood Swings and Clinical Depression
Like bipolar disorder, clinical depression is another disorder that has similar symptoms to those of menopausal mood swings, but are far more severe and may require professional medical treatment.
Clinical depression (or major-depressive disorder) may be present if one experiences five or more of these symptoms almost daily for two weeks or more:
- Sadness and depressed mood
- Disinterest of normally entertaining activities
- Inexplicable weight gain or weight loss
- Irregular sleep (insomnia or excessive sleeping)
- Extreme fatigue and lack of motivation
- Suicidal contemplations or other thoughts of death
If one experiences these symptoms frequently, clinical depression may be a viable diagnosis, and one should seek professional treatment to alleviate the problem.
Mood Swings and Anxiety Disorder
Another group of disorders that can have more serious side effects than menopausal mood swings are clinical anxiety disorders. These are a group of psychological illnesses that affect upwards of 18% of American adults, making them incredibly common (but nonetheless devastating). The disorders under the title of clinical anxiety include:
- Panic Disorder
- Social phobias
- Post Traumatic Stress Disorder (PTSD)
- Obsessive Compulsive Disorder (OCD)
- Generalized Anxiety Disorder
Generalized Anxiety Disorder is very common, and can induce symptoms that are often inappropriate for the situation in which they present themselves, and can include extreme worry, exaggerated fear, chronic tension, and strong concern. Many physical symptoms can accompany this disorder, including:
- Fatigue or tiredness
- Aching muscles due to clenching
- Extreme or inappropriate tension
- Difficulty swallowing
- Profuse sweating
- Often irritable or sensitive
- Headaches
While many symptoms of anxiety disorders are very similar to those experienced during menopausal mood swings, the symptoms of anxiety disorders can often have destructive consequences for both the individual suffering from the disorder and many of their close friends and family members. The combination of many psychological and physical symptoms during an episode of extreme anxiety can be debilitating.
All of these extreme cases of mood swings can result in very serious side effects, so it is extremely important and beneficial to seek help as soon as possible if menopausal mood swings do not adequately diagnose one’s ailment. Sometimes, minor lifestyle changes and even some natural remedies may help to alleviate common mood swings during menopause, and professional help is unnecessary.
Common Signs
- Frequent mood changes
- Depression
- Aggression
- Anxiety
- Nervousness
- Melancholy
- Irritability
- Increased Stress
- Edginess
- Anger
- Intolerance
- Impatience
Risks of Menopause Mood Swings
What’s the harm in mood swings? Plenty, it turns out. Mood swings not only can make life miserable during menopause, but also can have a profound affect on overall mental and physical health. As moods fluctuate, the body produces an increase in stress hormones such as cortisol – which can affect everything from sleep quality to weight gain around the midsection. Menopause mood swings can also lead to panic attacks, anxiety disorders, chronic nightmares, depression and the development of phobias. In severe cases, mood swings can lead to prolonged depression, worsening self-esteem, suicidal ideation, or even episodes of violence. Personal relationships can be gravely affected by mood swings, as well, creating an unpredictable atmosphere in which friends and families become afraid to approach the menopausal individual.
Causes of Mood Swings
Menopause can bring on rapid mood shifts, due to the effects of changing hormone levels on the brain’s natural chemistry. As brain chemistry becomes affected, mood rapidly shifts. Mood swings can also be caused by preexisting chemical imbalances, secondary psychological issues (such as borderline personality disorder (BPD) or bipolar disorder) or trauma-related disorders (such as PTSD). Mood swings can also be caused by issues in stress, blood sugar, drug or alcohol addiction and extreme fatigue. For most women, post menopause mood swing causes are generally hormone related.
Menopause Mood Swings Treatments
Many women can experience relief from menopause mood swings through solutions that even out hormone levels (and thus reestablish steady and natural brain chemistry). In clinical trials, Amberen was shown to alleviate menopause-related mood swings, by restoring the body’s cells and improving communication of hormonal signals – leading the body to resume natural production of hormones. Other potential treatments for menopause mood swings include professional therapy, group therapy, antidepressants or anxiolytic medication.
Continue reading about mood swing treatments.
Menopause Mood Swings FAQ
- When do menopause mood swings first take place?
Menopause mood swings can affect women in their perimenopause years (prior to menopause, during fertility), or for some women they don’t begin until post-menopause. Post menopause mood swing treatment is less common than perimenopause or menopause mood shifts, but still, in many cases, necessary. In general, a woman can experience menopause mood swings in their late 30s, 40s or 50s. - Who is at highest risk for menopause mood swings?
Women who have experienced hormone-related mood swings in the past have the greatest risk of developing menopause mood swings. Additionally, women who have a family history of mental health disorders, who frequently smoke or use alcohol, who have a drug addiction, who have survived a traumatic event, or who have a secondary health issue may all experience an increased risk of menopause mood swings.
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