Menopause and anxiety: an Australian guide

Anxiety is one of the most common — and most under-recognised — symptoms of perimenopause. For many women, it's the first sign that something hormonal is changing, often years before periods become irregular.

Why it happens

Falling and fluctuating oestrogen affects neurotransmitter systems that regulate mood. Sleep disruption amplifies it. Hot flushes themselves can trigger acute anxiety. The combined effect can feel like a personality change.

What helps

A real consultation that maps the symptom pattern, not just a generic referral. For some women, hormone therapy substantially reduces anxiety alongside other symptoms. For others, non-hormonal medical options are first-line. Cognitive behavioural therapy and structured psychological support are also effective.

Full article coming soon. The [menopause programme page](/menopause) covers our approach, including the mental health pathway integrated into care.

This is general health information and not medical advice. Your doctor will discuss your specific situation during a consultation.