11/05/2026
Menopause and mental health.
When employees are exhausted from disrupted sleep, struggling with brain fog, battling anxiety they’ve never experienced before, or losing confidence seemingly overnight, work performance is affected.
Not because they suddenly became less capable.
Because physiology impacts psychology.
And yet many workplaces still approach mental health and menopause separately:
Mental health strategy over here.
Menopause policy over there.
Leadership performance somewhere else entirely.
A senior leader navigating hormonal changes may also be managing stress differently. Research from UCL found that women in perimenopause are 40% more likely to experience depressive symptoms than premenopausal women. The risk for poor mental health increases for those who have experienced trauma, have small networks of support, are neurodivergent or have a high stress load. The result can be anxiety that appears from nowhere, low mood that won't lift, brain fog that makes you doubt yourself, irritability that feels out of character, and sleep disruption that makes everything worse.
The overlap between perimenopausal symptoms and clinical depression is significant. Many women are prescribed antidepressants when what they actually need is a conversation about their hormones. That's not to say antidepressants aren't right for some people. They are. But getting the right diagnosis matters, and that starts with understanding what perimenopause can do to your mental health.
If any of this sounds familiar, please make an appointment with your GP and mention your hormonal health. If you are lucky enough to have support at your workplace, use it!
A manager may completely miss the signs because nobody ever taught them what menopause can look like at work.
This is why menopause awareness alone is no longer enough.
Workplaces need:
✔ Managers who can confidently hold conversations
✔ Cultures where people don’t feel forced to mask symptoms
✔ Better understanding of sleep, stress, cognition, and energy
✔ Practical support that improves retention and productivity
Because replacing experienced talent is expensive.
Ignoring the issue is expensive too.
The organisations leading this conversation well are not doing it because it’s trendy.
They’re doing it because employee wellbeing and business performance are deeply connected.
This month celebrates Mental Health Awareness Week, so we will be exploring more about the power of mind and its importance during perimenopause and beyond. The theme this year is Action, not just being aware of our feelings but doing something about them. Please ask for support if you need it.