A recent survey reveals that a staggering 75% of women in the UK are unaware that menopause can trigger serious mental health issues, including bipolar disorder and clinical depression. The Royal College of Psychiatrists (RCPsych) has issued a stark position statement urging for greater awareness and improved care for women experiencing these life changes. This alarming gap in knowledge is causing many women to miss out on essential support and treatment during a critical period in their lives.
Lack of Awareness Among Women
The findings from a YouGov poll, commissioned by the RCPsych, highlight a critical lack of understanding surrounding the mental health implications of menopause. Only 28% of surveyed women were aware of the potential for new mental illnesses to arise during this transitional phase, a stark contrast to the 93% who associated menopause with physical symptoms such as hot flushes and a diminished sex drive. The implications of this knowledge gap are profound, with many women continuing to suffer without seeking the help they desperately need.
Dr Lade Smith, president of the Royal College of Psychiatrists, commented on the findings, stating, “Menopause can have a significant yet often overlooked impact on women’s mental health and wellbeing. Women represent 51% of the population, and all will experience menopause at some point. This is a societal issue for everyone. Simply put, we must do better.”
Mental Health Risks During Perimenopause
The report released by RCPsych paints a concerning picture of the mental health challenges faced by women during perimenopause. Research indicates that women in this stage are more than twice as likely to develop bipolar disorder and are 30% more likely to experience clinical depression. Additionally, the hormonal changes that accompany menopause can exacerbate or trigger the onset of eating disorders, and there is an alarming increase in suicide rates among women of menopausal age.

Dr Cath Durkin, a leading figure in women’s mental health at the RCPsych, emphasised the urgent need for recognition of these risks. “For women with or at risk of bipolar disorder, perimenopause may represent a period of particular clinical danger that has historically gone unrecognised,” she stated. The link between menopause and mental health issues is increasingly clear, yet the necessary support systems remain lacking.
The Call for Systemic Change
In light of these findings, the RCPsych is calling for urgent action from healthcare services and government bodies across the UK. Proposed measures include mandatory training on the intersection of menopause and mental health for all medical professionals, as well as the introduction of menopause policies in workplaces. These steps are vital to ensure that women receive proper care and support during what can be a tumultuous time.
A recent study from University College London further underscores the need for awareness, revealing that 58% of Black women in the UK feel uninformed about menopause, with many reporting that the experience has been psychologically damaging. Shockingly, over half expressed having been misdiagnosed with anxiety or depression rather than being correctly identified as experiencing menopausal symptoms. This misrecognition has resulted in only 23% seeking hormone replacement therapy (HRT) for relief.
Television presenter and advocate Davina McCall has voiced her support for the RCPsych’s position statement, stressing the importance of open dialogue. “Lack of knowledge and ingrained stigma still prevent open conversations between doctors and patients, in the workplace and among friends and family, leaving women without the crucial support they need at an incredibly vulnerable time in their lives. And it’s just not acceptable. Why are women still fighting to be heard?”
Personal Stories Highlight the Issue
The experiences of women like Sonja Rincón illustrate the devastating impact of misdiagnosis and lack of understanding. At just 35, Sonja found herself battling unexplained fatigue and low mood, only to be prescribed antidepressants without any consideration of perimenopause as a potential cause. “For seven years, I was treated for depression while the real cause – perimenopause – went unidentified,” she recounted. It was only after educating herself about menopause that she was able to advocate for her own health, eventually receiving the correct diagnosis and treatment.

Sonja’s story is a powerful reminder of the critical need for enhanced training for general practitioners. “When a woman in her mid-30s presents with fatigue, low mood, and brain fog, perimenopause needs to be on the list of possibilities,” she urged.
Why it Matters
The implications of these findings extend beyond individual health; they reflect a broader societal issue that demands immediate attention. Women are currently navigating a complex landscape of physical and mental health challenges during a pivotal life transition. With the right knowledge and support, these risks can be significantly mitigated. Increasing awareness and improving healthcare provisions will not only empower women through menopause but also foster a more informed and compassionate healthcare system. It is time for society to recognise and address the real and pressing mental health challenges faced by women during this crucial stage of life.