140 - Addressing the emotional challenges of perimenopause and menopause with Simona Stokes

140 - Addressing the emotional challenges of perimenopause and menopause with Simona Stokes

Simona Stokes is an experienced counselling psychologist who uses CBT (Cognitive Behavioural Therapy) and EMDR (Eye Movement Desensitisation and Reprocessing) to help people with stress, depression and anxiety. After 20 years working in the NHS and voluntary sector, she then founded her own clinic in Birmingham, and has developed an interest and specialist knowledge in helping women with the emotional and psychological challenges of the peri/menopause. Simona’s personal experience of hormonal changes hit her hard and this led her to develop and successfully implement the psychological tools she had at her disposal to support her own journey and made her realise many women need help to understand the impact their hormones have on their moods, thoughts and emotions.

In discussion with Dr Louise Newson, Simona explains the power of estrogen as our primary fuel and the problems that can arise when estrogen falls. She explains the difference in perimenopausal depression compared to general depression, what CBT is and how it can help women at this time of life that can often be a pinch-point on our emotions. Simona advises how to look after yourself and your emotions and elaborates on why so many women feel a sense of loss of one’s role, of identity, and loss of purpose at this time.

Simona’s advice for women experiencing emotional challenges:

  1. Menopause is unavoidable but suffering is optional. CBT helps us to change the narrative we create about the difficulties we’re facing, and allows us to let go of the struggle against the changes we’re feeling. An attitude of compassion, kindness and curiosity to yourself will help you understand your difficult emotion in a more helpful way than being harsh, self- critical, and just wanting a feeling to go away.
  2. It’s really important to make peace with all your emotions. We’ve been conditioned to think that difficult emotions are undesirable and we must strive to feel happy and grateful. Increase your openness to difficult emotions and this will help you be more resilient and emotionally ‘fit’ to cope with your peri/menopause.
  3. ‘Emotion follows motion’, so engage in physical activity, even if you don’t feel like it, as physical activity is a powerful tool to change how you feel. Use your body to calm down your mind either through breathing and relaxation techniques or getting out there and being active.

Simona’s clinic and website details can be found here.

The ‘Meno D’ rating scale to detect depression that Simona refers to can be found here.

If you would like to access psychological therapies via the NHS explore your options here.

You can find Simona on her social media pages a:

Instagram - https://www.instagram.com/menopausecbtclinic/

Facebook - https://www.facebook.com/ThrivingBeyond40

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252 - Bryony Gordon: mental health, hormones and witchy magic

252 - Bryony Gordon: mental health, hormones and witchy magic

This week on the podcast, journalist Bryony Gordon, bestselling author of several books including her latest, Mad Woman, explains how the perimenopause caused her to reconsider her mental health. Was her experience of OCD affected by her hormones and what would society look like if women’s health was taken more seriously? Bryony shares her belief that there’s a 'witchy magic' to menopause and that the issues it brings are the ones that you need to deal with and there is power in doing so. Finally, Bryony shares three bits of advice to any woman being dismissed with 'it’s just your hormones': Don’t dismiss yourself. Don’t discount your point of view or feelings just because they are yours. Maybe sometimes you're right, maybe sometimes you're wrong - that's OK. It's OK sometimes to be bad. We all are. It’s just society wants us to live as women in a way that isn't very human. Confidence is a trick. No one has confidence. I don't have confidence. I just have a will and a desperation not to spend the rest of my life hating on myself because it's such a waste of energy. Follow Bryony on Instagram @bryonygordon her community organisation @Mental Health Mates Click here to find out more about Newson Health.

16 Apr 202431min

251 - Kate Muir: everything you need to know about hormones but were afraid to ask

251 - Kate Muir: everything you need to know about hormones but were afraid to ask

This week, Dr Louise is once again joined by journalist and activist Kate Muir, who made the Davina McCall documentary Sex, Myths and the Menopause. In Kate’s new book, Everything You Need to Know About the Pill (but were too afraid to ask), she turns her attention to the hormones commonly used in the contraceptive pill. Kate shares personal stories of how women have been negatively affected by synthetic hormones and uncovers the bad science and patriarchy that have had such an impact on women’s health. She also offers hope that women have options and can demand change. Finally, Kate shares three things every women should know about hormones and the pill: Progestins are not all the same. Some of them are androgenic and some of them are oestrogenic, and they have very different effects. So, women can be on the wrong pill for them. You can always take a pill holiday. There's nothing wrong with taking a few months off and seeing how you feel. And you may be a different person, or there may be other reasons for why you are in that state of mental health. There needs to be more research into every bit of what synthetic hormones do in our bodies, and particularly in our minds. You can follow Kate on Instagram at @muirka and on @pillscandal Click here to find out more about Newson Health.

9 Apr 202433min

250 - Testosterone: the missing piece of the jigsaw?

250 - Testosterone: the missing piece of the jigsaw?

This week we mark 250 episodes of the Dr Louise Newson Podcast! And joining Dr Louise this week is Anita Nicholson, a nurse practitioner and menopause expert at Age Management Center in the US, where she aims to help patients lead the best quality of life for as long as they can. Here, Dr Louise and Anita compare notes on the attitudes towards testosterone in the UK and the US, share their clinical experience of the benefits it can provide women, particularly in restoring their zest for life. Finally, Anita shares three things she thinks could make a huge difference to women's health: Women need to educate themselves. They have to be their own advocate. I would love for hormones to become available and affordable. In the US, we don't even have vaginal oestrogen covered by some insurance here, never mind over-the-counter access. More education of healthcare providers. So have a fellowship in menopause. Let's start very early with med students and nurse practitioner students so they understand that menopause and sexual medicine is very important for our life span and our health span. You can follow Anita on Instagram @menopause_agewellfnp and the Age Management Center on Facebook /AgeManagementCenter and YouTube /@agemanagementcenter. Click here for more information about Newson Health

2 Apr 202431min

249 - Dr Mary Claire Haver: on a mission to demystify menopause

249 - Dr Mary Claire Haver: on a mission to demystify menopause

In this week’s podcast Dr Louise is joined by Dr Mary Claire Haver, an obstetrics and gynaecology doctor and a menopause specialist in the US. Dr Louise and Dr Mary Claire discuss the challenges of ensuring all women have access to evidence-based information and treatment, and their hopes for change. Dr Mary Claire shares her three tips to help menopausal women improve their health: Really focus on your nutrition. Make sure you're getting adequate fibre in your diet every day. Fibre-rich goods are good for you gut microbiome, help you stay full for longer, and are good sources of vitamins, minerals and nutrients. Limit added sugars – those that are added in cooking and processing - to less than 25g per day. Women who do that consistently have less visceral fat. Visceral fat is tied to increased risk of chronic inflammatory diseases. Don't just focus on cardio for your movement. You really need to keep your muscles strong so at least two days a week pick up some weights. Multiple studies in menopausal women show much better outcomes for osteoporosis with resistance training. You can follow Dr Mary Claire on Instagram at @drmaryclaire Click here to find out more about Newson Health Pre-order the revised and updated paperback edition of Dr Louise’s Sunday Times bestseller The Definitive Guide to the Perimenopause and Menopause here   References to studies discussed in this week's episode J Gen Intern Med 2006; 21:363–6 J Gen Intern Med 2004;19:791–804 Am J Med 2009;122:1016 – 22 JAMA 2004; 291:2243 – 52 Int J Cardiol 2010;138:25 – 31 Urology 2024; Jan 29:S0090-4295(24)00006-2

26 Mars 202430min

248 - The menopause brain: why it might be feeling strange and what you can do about it

248 - The menopause brain: why it might be feeling strange and what you can do about it

The Dr Louise Newson Podcast is celebrating two huge milestones this week: not only is the podcast five years old, we’ve hit six million downloads since Dr Louise started her podcast back in March 2019! Making a welcome return to the podcast this week is world-renowned neuroscientist Dr Lisa Mosconi, PhD. Her new book, The Menopause Brain is released on 21 March and in it Dr Lisa shares some of the fascinating changes that occur to the brain during menopause. In this episode, Dr Lisa explains how our understanding of the importance of hormones’ role in the brain is relatively new – man was walking on the moon almost 30 years before scientists realised that the hormones that play an important part in ovarian function also have a fundamental role in the brain. She explains that she wrote her book to empower women with the information they need to navigate the menopause – by understanding why your brain might feel foggy and the science behind it, she hopes to reassure and enlighten. You can follow Dr Lisa Mosconi on Instagram @dr_mosconi Click here to find out more about Newson Health

19 Mars 202434min

247 - Addiction and menopause

247 - Addiction and menopause

Joining Dr Louise on this week’s podcast is Alex Newman, a substance misuse therapist with a special interest in the menopause. Alex’s passion is supporting women who are self-medicating menopausal symptoms with alcohol and drugs – a recent survey by Newson Health of nearly 1,200 women found some were spending nearly £3,000 a year on alcohol and over-the-counter medication in a bid to cope with menopause-related symptoms. The pair discuss the relationship between substance misuse and menopause, and crucially, strategies on how to get help for yourself or a loved one. Follow Alex on Instagram @alexnewmantherapy or email alexnewman.therapy@gmail.com. Click here to find out more about Newson Health

12 Mars 202430min

246 - Postnatal depression, PMDD and menopause: Wendy’s hormone journey

246 - Postnatal depression, PMDD and menopause: Wendy’s hormone journey

Content advisory: this episode contains themes of suicide and self-harm Joining Dr Louise on this week’s podcast is Wendy Barker. Wendy experienced postnatal depression after the birth of her first child in the late 80s and was later diagnosed with premenstrual dysphoric disorder (PMDD), a very severe form of premenstrual syndrome. ‘For probably three weeks of the month, I was like a coiled spring,’ Wendy recalls. ‘And the only way that I would get anything sort of relief from that would be to either rage, scream, shout, and then there'd be the tears. And then I would think that's it until it starts all over again.’ Wendy movingly describes the impact of PMDD on her physical and mental health and her relationship with her family, her fight for a diagnosis and ongoing access to treatment, plus her advice for others in similar situations. You can find more information about PMDD in Dr Louise’s book, the Definitive Guide to the Perimenopause and Menopause. And you can listen back to episode 216 of the podcast with Dr Hannah Ward on progesterone, PMDD, postnatal depression and menopause. Click here for more information on Newson Health. Contact the Samaritans for 24-hour, confidential support by calling 116 123 or email jo@samaritans.org

5 Mars 202436min

245 - How medicine has failed women, with author Elinor Cleghorn

245 - How medicine has failed women, with author Elinor Cleghorn

This week Dr Louise is joined by feminist cultural historian Dr Elinor Cleghorn, author of Unwell Women, which unpacks the roots of the misunderstanding, mystification and misdiagnosis of women’s bodies, illness and pain. From the ‘wandering womb’ of ancient Greece to today’s shifting understanding of hormones, menstruation and menopause, Unwell Women is the story of women who have suffered, challenged and rewritten medical misogyny. Elinor tells Dr Louise how the book draws on her own experience of being dismissed by doctors for years before finally being diagnosed with systemic lupus, an autoimmune condition which is nine times more prevalent among women than men. In the episode, Dr Louise and Elinor discuss how women’s health, including menopause, has been viewed through the ages, and the misconceptions that need to be consigned to the history books once and for all. Follow Dr Elinor on Instagram @elinorcleghorn Click here to find out more about Newson Health

27 Feb 202439min

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