60 percent of postmenopausal mental landscape decided by one's environment

Q/How does a woman recognise that her mental wellbeing is impacted by a stage of menopause, given that we live in a world where women are shamed for not keeping their hormones in check?

- Puja Awasthi

A/Spotting mental health shifts during menopause is tough when society expects women to keep 'their hormones under wraps' as though it is a test of willpower. Research points to tell-tale signs: anxiety that feels sharper than usual, a low mood that sticks around, or trouble focusing that is new and nagging. These often sync with physical clues—hot flashes, sleepless nights—but the mental piece can stand alone.

Perimenopausal and postmenopausal depressive symptoms include persistent and pervasive sadness, anhedonia (loss of interest in activities that were previously pleasurable), fatigue, crying spells, guilt, disrupted biological functions such as sleep and appetite, concentration difficulties, hopelessness and [feeling of] worthlessness. In severe depression, suicidal ideas are apparent.

In India, where menopause talk is hushed and women are judged for these symptoms, the shame can mask these symptoms as personal flaws. A woman might notice she's snapping more, withdrawing from loved ones, or just feeling off, beyond typical stress. If it is persistent—weeks, not days—and disrupts life, it is time to see a mental health professional.

Q/What are the different kinds of mental wellbeing challenges that women face in this long journey of menopause?