Perimenopausal Depression

By Staness Jonekos

Perimenopausal Depression The Real Cougar WomanIf you are suffering from hot flashes, night sweats, cranky moods or feeling hopeless for prolonged periods – you may be experiencing perimenopausal depression.  Researchers have shown that hormones directly affect the brain chemistry that controls emotions and mood.

Perimenopausal symptoms may be the cause of depression, and for some, it may even be clinical depression.

According to the North American Menopause Society:

A depressed mood –This is a normal, brief period of feeling blue or sad that is commonly experienced and rarely requires treatment.

Depression as a symptom – This type of depression may be due to a wide variety of medical or psychological problems, or to intense reactions to life events (such as divorce, losing a job, death of a loved one). It is usually short-term and most often does not require treatment, although it can progress to clinical depression.

Clinical depression — This is a pathologic disorder believed to result from a chemical imbalance in the brain. A clinical (major) depression requires treatment.

Women who had severe PMS in their younger years may experience more severe mood swings during perimenopause. There are many factors that can cause an increased risk for depression from your genes, to having a prior history to taking certain medications.  Certain endocrine disorders, such as hypothyroidism, or other illnesses, such as chronic fatigue syndrome, are also associated with depression.

Signs and symptoms include:

  • Persistent sad, anxious, or “empty” feelings
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable, including sex
  • Fatigue and decreased energy
  • Difficulty concentrating, remembering details, and making decisions
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Overeating, or appetite loss
  • Thoughts of suicide, suicide attempts
  • Aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment.

Mild depression – feeling blue or sad – can be dealt with cognitive therapy, psychotherapy, meditation, Yoga, getting enough sleep, a positive outlook, healthy eating, incorporating appropriate supplements, acupuncture, and exercise. Exercise boosts your endorphins and can lift your mood. Engaging in new activities may help, such as taking Yoga or Pilate’s class, or getting out and trying new things, all while enlisting the support of your family and friends.

If you have lingering or worsening symptoms, you may need medication.  Depression can be a malfunction of your neurotransmitters, particularly serotonin, which is the feel good neurotransmitter. Medicines can be enormously helpful, although you will want to incorporate lifestyle changes as well.

According to the Study of Women’s Health Across the Nation(SWAN):

The risk of major depression is greater for women during and immediately after the menopausal transition than when they are pre-menopausal.

If you suffer from depression whether mild, moderate or clinical, get support and visit your health care provider to discuss your options.

The Real Cougar Woman is a 5-carat diamond who knows the importance of taking care of her health, beauty, relationships, finances and spirituality. Linda Franklin says,”there is no stopping a woman who has a strong belief system, passion and a dream. All things are possible”. Linda’s book, Don’t Ever Call Me Ma’am helps women of all ages tap into their power and live life to the fullest.

Conquering Menopausal Belly Fat

 
My friend Staness is an expert on menopause – in fact she wrote the bestselling book on the subject - The Menopause Makeover.   
 
Staness, has some great advice on how to conquer menopausal belly fat another just another one of those fun side effects women have to deal with.  I wanted to share this article she wrote  with you so you have a leg up.
 
According to the North American Menopause Society, more than 70% of women ages 55 to 75, and 65% of women ages 45 to 55 are overweight (BMI greater than 25).  More than 40% are obese (BMI greater or equal to 30). With the average age of natural menopause in the Western world being 51, it is no surprise many blame the menopause transition on weight gain and extra belly fat.

What causes weight gain and that unwanted belly fat during these years?  Until recently there was no scientific evidence that menopause was the culprit for your increased waist size.  But now there is some evidence that menopause may be related to changes in body composition and fat distribution.  Several studies have shown that menopause is associated with increased fat in the abdominal region as well as decreased lean body mass, independent of age.

While the jury is out deciding if menopause is guilty, aging and lifestyle are mostly responsible.  Lean body mass decreases with age, and burning fewer calories through less activity increase fat mass and weight gain.

Not getting enough sleep, whether suffering from stress or night sweats, can cause changes in serum leptin and ghrelin levels increasing your appetite.   68,000 women studied in the Nurses’ Health Study found that women who slept five hour or less gained 2.5 pounds.  Women sleeping six hours gained 1.6 pounds.  61% of peri- and postmenopausal women report suffering from insomnia. If you are suffering from night sweats affecting your sleep, discuss treatment management options with your healthcare provider. The optimal amount of sleep varies from person to person, but 6 to 9 hours of sleep is a good rule of thumb.

The good news? Mid-life belly fat can be managed!  Making lifestyle adjustments can put you in the healthy BMI category (18.5 to 24.9).

  • Eat lean proteins, low to medium glycemic carbohydrates and healthy fats, combined with exercise most days of the week for 30 to 60 minutes can do the trick.
  • Limit your intake of saturated and trans fat and cholesterol.
  • Adjust your portion sizes.
  • Do not over consume beverages with sugars and caffeine.
  • Consume alcohol in moderation – some research has shown that red wine can have health benefits.
  • Decrease salt and processed foods.
  • Stop smoking.
  • When you dine out, take half home for lunch tomorrow.

These are all good common-sense strategies that work for everyone, but they are non-negotiable for menopausal women.  It takes commitment and effort to make lasting change.  If you do the work, you will maintain a healthy weight and manage that unwanted belly fat.

This is also an important time to work closely with your healthcare provider.  Increased weight and belly fat can increase your risk of getting type 2 diabetes, CVD, stroke, hypertension, and some cancers.

It is important to set realistic goals.  If you expect to look like your 20s, you may be disappointed. With a loss of skin tone and muscle mass from aging you just won’t look that same naked, but you are not alone.  Men too suffer from similar aging frustrations.

Focus on health, and you will feel happier about your body.

 

The Real Cougar Woman is a 5-carat diamond who knows the importance of taking care of her health, beauty, relationships, finances and spirituality. Linda Franklin says,”there is no stopping a woman who has a strong belief system, passion and a dream. All things are possible”. Linda’s book, Don’t Ever Call Me Ma’am helps women of all ages tap into their power and live life to the fullest.

Coffee Could Be Making You Fat

Staness jonekos Caffeine, consumption over the long term is proven to reduce your metabolism. You start to need increasing amounts of caffiene just to stay alert. And,with a slower metabolism, you gain weight eating less food.

Caffeine also raises cortisol levels. Cortisol is a hormone responsible for fatCoffee 2  storage in the body. It causes your blood sugar to spike. As the caffeine begins to wear off your blood sugar plummets. This causes you to crave sugar. In other words you think your hungry when you’re really not.

Obviously this is counterproductive to your weight loss goal. Have you ever noticed you crave carbohydrates after a cup of coffee? This is why. Your body is trying to get you to eat carbs to get your blood sugar back to where it should be.

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Cougar Woman Discovers Aging Is A Full-Time Job

Staness jonekosI live in the land of angels, but in Los Angeles these guardians are nipped and tucked with crooked smiles and lopsided eyes frozen on a static expression.

At 52 I am really pissed off that aging — a thing that happens as soon as we take our first breath — is such a big deal! 

Considering that the average lifespan in the early 1900s was 49, and now it’s 77, perhaps old age is a more recent phenomenon. 

My first signs of aging appeared as a growing colony of spider veins and brownSpider veins  spots that surfaced after years of sun damage. Witnessing these skin tone imperfections sent me running to the nearest celebrity dermatologist for a quick fix. Six months and $1,200.00 later, those spider veins and brown spots reappeared. Don’t they know I paid good money to banish them forever?

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Menopausal Cougars And Their Dr. Jekyll-Mr. Hyde Transition

Staness jonekos Going through menopause can be challenging both physically and emotionally. Your world is turning inside out. And, because you don't fully understand what's happening yourself, you find it difficult to communicate verbally to those who are a target for your moodiness, crankiness, anger and hot flashes.

Many Real Cougars are finding it easier to express themselves their frustration in a letter rather than face-to-face.  Just by writing everything down it can help you make better sense of it.  It puts you in a better position to explain your  Dr. Jekyll-Mr Hyde personality to family, friends and people you work with.

An example of such a letter might read like this:

Dear ________________,

Lately I have not been feeling like myself. Despite the daily stresses we all experience, I am going through perimenopause (menopause, postmenopause or surgical menopause) and suffering from uncomfortable symptoms. This is a normal, natural part of a woman’s life. Yet, I am feeling anxiety about my changing body, roller-coaster emotions, constant hot flashes and aging that are starting to unfold. Unfortunately, we live in a society that does not embrace this transition. I would like to ask for your support and understanding as I pass through this important time in my life.

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Cougar Women Coping With Stress, Menopause & Holiday Meltdown

Staness jonekos The holiday season is in full blast.  Just when you need to be at your best, your fluctuating hormone levels may affect the mood centers in your brain, causing you to melt down. When you combine menopause and chronic stress it can make the holidays very trying and you don't want that.

Stress causes your body to work harder. And, when it does, you will most likely experience some of the following symptoms. 

  • Difficulty in losing weight
  • Migraines, irritable bowel syndrome, acid reflux, back and joint pain
  • Depression
  • Trouble Focusing
  • Irritability
  • More susceptible to infections and viruses

Here are some solutions to reduce stress and get back on track.

  • Stress-relieving activities, such as yoga, meditation, or tai chi
  • Regular exercise – releases endorphins, making you feel better
  • Time with friends; support is important
  • Eat healthfully – avoid a diet heavy in carbohydrates
  • Free up your schedule – start saying no to others, and yes to you

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Happiness Is An Exercise – Especially During Menopause

Staness jonekos Happiness and exercise may seem like an odd combination of words but during menopause I discovered happiness was going to have to be my new excercise routine. I had to practice being happy.

Being consumed by hourly hot flashes, cranky moods, itchy skin and sleepless from night sweats, being happy was not on my to-do list. It was a full time job just managing these menopause symptoms. Additionally, I had to learn how to eat and exercise differently, and adjust my skin care regime. I was definitely NOT happy about these changes. As I developed the Menopause Makeover 8-step, 12-week plan I had to add “happiness” to the menopause checklist.

According to NationMaster.com, Americans ranked number 13 on the national scale of happiness, and Canada ranked number 17. Iceland, Sweden and Denmark ranked the top three happiest nations. Hmm, what does that say about women in the United States and Canada?

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