Oct 19 2026 | By: Casey Posey, MSN, APRN-BC at Glow Health and Wellness
WHAT IF MORE MENTAL HEALTH PROFESSIONALS UNDERSTOOD THE CONNECTION BETWEEN HORMONES AND THE BRAIN?
We talk a lot about the need for gynecologists and primary care providers to receive better education on perimenopause, menopause, and hormone-related symptoms. But there's another group of healthcare professionals who need this education just as much: mental health professionals.
Psychologists, psychiatrists, therapists, and counselors are often the professionals women turn to when they begin experiencing anxiety, depression, panic attacks, irritability, mood swings, insomnia, and changes in their ability to think clearly.
But how often is anyone asking about their hormones?
Estrogen, progesterone, and testosterone aren't just reproductive hormones. They also influence brain function, neurotransmitter activity, mood regulation, sleep, memory, and emotional well-being.
As these hormones fluctuate and decline during perimenopause and menopause, some women experience significant changes in their mental health, even when they've never struggled with anxiety or depression before.
And then there's something else we don't talk about enough.
THE MENTAL AND EMOTIONAL BURDEN OF THE PHYSICAL SYMPTOMS THEMSELVES.
Imagine trying to function every day while dealing with poor sleep, night sweats, heart palpitations, exhaustion, brain fog, changes in sexual function, and dozens of other possible symptoms.
Now imagine being told that you're simply stressed, anxious, or depressed without anyone considering the hormonal changes happening in your body.
Of course, that experience can take a toll on your mental health!
This doesn't mean every mental health concern during midlife is caused by hormones, or that therapy and psychiatric medications aren't sometimes necessary. They absolutely have their place.
But hormone health deserves to be part of the conversation, not an afterthought.
We need better hormone education across ALL areas of healthcare, including mental health.
Because treating a woman's emotional symptoms without considering the biological changes happening in her brain and body may mean we're missing an important piece of the puzzle.
Women deserve care that looks at the whole picture, not just individual symptoms.
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