A recent study highlights a concerning gap in awareness surrounding the mental health implications of menopause. Findings from the Royal College of Psychiatrists reveal that a staggering 72% of women in the UK are unaware that menopause can trigger new mental health issues, with perimenopausal women facing a significantly increased risk of conditions like bipolar disorder and clinical depression. This lack of understanding not only hampers women’s access to essential support but also underscores a critical need for systemic changes in how health services address menopause-related mental health issues.
Unveiling the Mental Health Crisis
The Royal College of Psychiatrists (RCPsych) recently published a position statement aimed at educating the public on the mental health challenges associated with menopause. A YouGov poll commissioned by the college found that a mere 28% of women recognise the connection between menopause and new mental illnesses. In contrast, the majority associate menopause primarily with physical symptoms such as hot flushes (93%) and diminished sexual desire (76%).
Dr. Lade Smith, president of the RCPsych, emphasised the urgent need for increased awareness: “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 stage. This is a societal issue for everyone. Simply put, we must do better.”
The report outlines alarming statistics regarding the mental health risks during perimenopause. Women in this transitional phase are more than twice as likely to develop bipolar disorder and experience a 30% increased risk of clinical depression. Hormonal fluctuations may also exacerbate existing conditions, leading to higher rates of relapse for those with a history of eating disorders or mood disorders.
The Need for Systemic Change
The RCPsych has called for immediate action from health services and government entities across the UK. Key recommendations include the mandatory inclusion of menopause and mental health education in medical training, as well as the implementation of workplace policies that address the mental health challenges associated with menopause.

Dr. Cath Durkin, a joint presidential lead for women and mental health at the RCPsych, highlighted the critical nature of these changes. “For women at risk of bipolar disorder, perimenopause may represent a period of particular clinical danger that has historically gone unrecognised,” she stated.
This urgent call for systemic reform is further underscored by a recent study from University College London, which found that 58% of Black women in the UK felt uninformed about menopause, with many reporting feelings of anxiety during this phase. Alarmingly, over half had been misdiagnosed with anxiety or depression by their GPs instead of receiving appropriate assessments for menopause.
Personal Stories Highlighting the Issue
Personal narratives underscore the urgency of addressing menopause-related mental health issues. Sonja Rincón, a 43-year-old woman, shared her experience of being dismissed as “too young” for perimenopause when she sought help for symptoms like fatigue and low mood. After years of being treated for depression, she eventually uncovered the true cause of her struggles: perimenopause.
“I was outwardly functioning, but I didn’t feel anything. Even the simplest tasks felt monumental,” she recounted. It wasn’t until she educated herself and demanded appropriate care that she received a diagnosis and began hormone replacement therapy (HRT), which transformed her life. “GP training has to change. Perimenopause needs to be on the list of possibilities when women present with these symptoms,” she urged.
Rincón’s experience illustrates how critical it is for healthcare professionals to recognise the signs of perimenopause and offer appropriate support, rather than attributing symptoms solely to mental health conditions.
Why it Matters
The mental health implications of menopause represent a pressing public health issue that requires immediate attention. With the majority of women unaware of the potential mental health risks, many are left without the necessary support during a pivotal transition in their lives. Comprehensive training for healthcare providers and targeted public awareness campaigns are essential to ensure that women receive timely, appropriate care. As society progresses towards better understanding and support for women’s health, it is vital that we address the stigma and misconceptions surrounding menopause, ultimately fostering an environment where women feel empowered to seek help and reclaim their mental wellbeing.
