Talking Therapy as Potential Aid for Menopause Mood Swings
Mindfulness, group therapy, and cognitive behavioral therapy (CBT) are emerging as effective treatments for menopause symptoms, including low mood and anxiety, according to a study conducted by University College London (UCL). The research, published in the Journal of Affective Disorders, analyzed 30 studies involving 3,500 women across 14 countries, including the UK, the US, and Australia.
The findings of the study suggest that psychosocial therapies, such as mindfulness and CBT, could offer viable alternatives or complementary approaches to hormone replacement therapy (HRT). The draft guidelines from the National Health Service (NHS) already recommend considering CBT alongside or instead of HRT for managing menopause symptoms.
HRT typically involves the administration of hormones like estrogen or progesterone through various methods, such as gels, creams, tablets, or sprays. However, psychosocial therapies focus on developing behavioral patterns, coping strategies, and relaxation techniques. The researchers propose empowering women to cultivate positive thinking through such therapies, which could provide benefits beyond HRTs.
The study revealed that some women experienced statistically significant improvements in anxiety and depression after undergoing CBT and mindfulness therapies, compared to those who received no treatment or alternative therapies. CBT and group therapies also demonstrated positive effects on sleep, memory, and concentration.
Professor Aimee Spector, a clinical psychologist specializing in aging at UCL, emphasized the clear link between physical and psychological symptoms during menopause. For instance, anxiety often accompanies hot flushes, creating a cycle where anxiety leads to more hot flushes. Poor sleep can contribute to depression, and conversely, depression can result in poor sleep, creating another cycle.
CBT aims to break these negative cycles by introducing strategies that challenge negative thought patterns and encourage alternative perspectives. It involves practical experiments to reduce avoidance behaviors and test different approaches.
The UCL researchers underscored the cost-effectiveness of CBT, as it can achieve results in a relatively shorter timeframe than other therapies. The potential benefits of talking therapies extend to improving overall quality of life and assisting women in regaining confidence to cope with challenges associated with menopause symptoms.
In conclusion, the study highlights the promising role of mindfulness and cognitive behavioral therapy in addressing menopause symptoms, offering women more options for managing their well-being during this life stage. As the researchers advocate for a holistic approach to menopause care, incorporating psychosocial therapies alongside or instead of traditional treatments could empower women to navigate this natural phase with enhanced mental and emotional resilience.
