Therapy in a Nutshell

Menopause and Mental Health with Dr. Mary Claire Haver

May 3, 2024
Menopause expert Dr. Mary Claire Haver discusses the impact of menopause on mental health, debunking myths around hormone therapy. Chapters cover hormone levels, depression, dietary strategies, supplements, and self-advocacy in healthcare decisions.
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INSIGHT

Estrogen Tunes Brain Chemistry

  • Estradiol supports brain receptors for serotonin, dopamine, and norepinephrine, so its decline raises neuroinflammation and mental health risk.
  • Reintroducing estrogen can upregulate receptors but may take time to restore prior function.
ADVICE

Consider HRT As Part Of Treatment

  • Consider hormone therapy (estradiol) as an adjunct when new mental health symptoms begin in perimenopause.
  • Use SSRIs/SNRIs and therapy too, but discuss HRT if symptoms persist or don't respond.
INSIGHT

WHI Panic Distorted HRT Risks

  • The 2002 Women’s Health Initiative caused widespread fear about HRT and breast cancer, but later nuance showed risks depend on the formulation.
  • For most women, benefits of properly managed HRT outweigh risks when individualized.
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