
20/06/2025
Is it burnout.... or is it perimenopause?
One of my clients asked *exactly* this question about six months ago, nearly word-for-word. I sent her to her GP for some hormone testing and her eostrogen had nearly fallen off a cliff.
She was suffering from what is now known as Perimenopausal Depression. As it turns out, females between the ages of 45 and 49 in Australia currently make up the largest group of completed suicides among adult women in the country. The reasons for this are many, not just hormonal, but it does make me wonder whether hormonal upheaval in this age group could be contributing.
Perimenopausal Depression (which is similar but *different* from PMDD—PreMenstrual Dysphoric Disorder, which is a whole 'nother thing...) comes on suddenly, usually over the course of a few months, around the age of 40, give-or-take a few years. Each individual's timing and strength of onset is a little different, but it usually comes "out of nowhere" and the person says things like "I have no reason to feel depressed, but nothing I do seems to shake it" and "it keeps getting worse and I don't know what I'm doing wrong."
Often the person has tried all sorts of things to get on top of it: exercise, diet, meditation, *everything.*
And then, their doctor (if they don't know about Perimenopausal Depression) inevitably prescribes SSRI anti-deppressants.
And everything gets WORSE.
These are all signals that the person needs specialist help from someone who understands perimenopause in-depth, for a full assessment. ❤️