Emotional swings in midlife are not just “stress.” Rapid changes in estrogen and progesterone influence brain chemistry related to calm, steadiness, and resilience. That’s why mood can spike, drop, or feel unpredictable, especially in perimenopause, where hormones don’t slowly decline in a straight line — they swing.
Poor sleep and chronic fatigue. The more depleted you are, the thinner your fuse.
Care-giving burnout, resentment, and the pressure to hold everything together for everyone.
A real physiologic increase in anxiety during the menopausal transition in many women.
Nutrient gaps (like low magnesium or low omega-3 intake), which can make tension, restlessness, and “I’m crawling out of my skin” anxiety feel louder. Midlife women tend to burn through magnesium faster when sleep is poor and stress is nonstop.
We take mood seriously. We screen for anxiety and depression, but also for perimenopausal rage, irritability, looping worry, and “I don’t feel like myself anymore.” Treatment can include lifestyle strategies, boundaries and nervous system work, targeted supplements, medication when appropriate, and sometimes hormone therapy. The plan is individualized and judgment-free.
You’re not “too emotional.” Your chemistry is shifting under a full-time workload.
Compassionate, evidence-based hormone health care for women, delivered through secure telemedicine.
