06/04/2026
Menopause and Melancholy
I see this often in my work with midlife clients.
It’s not always the early stage of perimenopause that brings women into the therapy room, more often, it’s the later stages of menopause, when a quieter, more persistent melancholy has settled in.
How we support women in early perimenopause needs to be different from how we work with someone who has been navigating menopause for several years. Early intervention matters. If we don’t offer support both physically and psychologically, we risk prolonging a state of low mood that, over time, can become deeply entrenched and much harder to shift.
If perimenopause begins, on average, around 45 and can last a decade or more, that’s a significant portion of a woman’s life. Without the right support, those years can feel compromised rather than lived fully. We can and should do better.
Support needs to extend beyond the individual to include partners and families, recognising the broader ripple effect of this transition. Because this stage of life isn’t something to endure it’s something to move through with awareness, support and intention.
So how do we do that?
We come back to what I believe are important components of a persons wellbeing: physical, emotional, social and spiritual.
This isn’t about scaring women. It’s about encouraging reflection: What areas of your life might need attention or refinement so that this next decade can be navigated with greater ease?
Balance becomes essential here along with thoughtful, well supported strategies that honour both the body and the broader life context.
Because the goal isn’t just to get through menopause, it’s to step into the next chapter feeling steady, resourced and fully engage in life.