Gwyn Rees Clinical Psychology

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Perimenopause, Menopause & Mental Health

Perimenopause and menopause are profound life transitions that bring a unique mix of physical, emotional, and psychological changes. While recent research from Melbourne, published in The Lancet (Brown et al., 2024), suggests that menopause does not uniformly lead to mental health diagnoses, hormonal shifts alongside sleep disruption, cognitive changes, and other life stressors, can increase susceptibility to mood fluctuations and perimenopausal depression. It is important to discuss these changes with your GP, as hormonal treatment is considered a first-line option (Kulkarni et al., 2026).

Beyond physical symptoms, this stage of life can also prompt shifts in identity and relationships, whether through evolving roles at home and work or navigating societal expectations around ageing. While these challenges can feel overwhelming, they can also create space for growth, self-reflection, and renewal.

I provide a supportive space to help you navigate these changes, build resilience, and reconnect with a sense of balance and purpose. My approach is grounded in evidence-based therapies, which are effective in improving mood, well-being, and overall quality of life during the menopause transition.

For some women, perimenopause can also bring a re-emergence of earlier emotional difficulties or trauma responses, even if these have been well managed in the past. Hormonal changes, sleep disruption and increased stress, can reduce resilience and make longstanding patterns feel more intense or harder to manage.

EMDR can be particularly helpful in this context. Rather than focusing only on current symptoms, it works with the earlier experiences that may be shaping how you feel and respond now. By processing these experiences in a safe and supported way, your nervous system can begin to respond more flexibly in the present. This can be especially relevant if you notice familiar patterns of anxiety, self-doubt, or emotional overwhelm returning in ways that feel out of proportion or difficult to shift.  If you’re noticing these patterns and would like to understand them more, you can read more about how I work with this approach here.

Support through perimenopause & menopause

Managing Emotional Well-Being

  • Addressing stress, irritability, mood swings, anxiety, and depression.
  • Building emotional resilience and self-compassion.

Strengthening Relationships

  • Addressing communication challenges and enhancing connection with partners, family, or friends.
  • Exploring changes in intimacy and fostering mutual understanding.

Navigating Physical Symptoms

  • Coping with physical changes such as sleep disturbances, fatigue, and hormonal shifts.
  • Developing strategies to manage the impact of symptoms on daily life and mental health.

Rediscovering Purpose and Meaning

  • Reflecting on life goals and creating a fulfilling vision for the next chapter.
  • Helping to integrate personal values and aspirations into daily life.

Coping with Identity and Role Transitions

  • Supporting the emotional challenges of evolving personal and professional roles.
  • Exploring how menopause influences self-identity and self-esteem.

Fostering Empowerment and Growth

  • Transforming challenges into opportunities for self-discovery and renewal.
  • Encouraging a mindset that embraces change and celebrates strengths.