Mental health tips for women over 40

Overview

As women enter their 40s, life often feels like an ongoing balancing act. Between managing careers, adjusting family dynamics, and dealing with hormonal changes, it's easy to feel overwhelmed. Approximately one in three women in Australia reports experiencing heightened stress ¹ or anxiety during midlife. However, this stage also presents an opportunity for self-discovery —an occasion to pause, evaluate, and nurture both the mind and the body. By prioritising mental well-being, women over 40 can approach challenges with clarity, confidence, and a sense of calm. Here's how to gain insight into these changes and prioritise your mental health throughout this transformative decade.

Understanding mental health in your 40s

According to Amira, a mental health expert and registered psychotherapist, "Your 40s can be a time of both fulfilment and frustration. This decade often includes career shifts, parenting teenagers, caring for ageing parents, or changes in relationships." In addition to these life events, hormonal changes during perimenopause and menopause can impact mood and emotional stability. Recognising these changes allows for empathy and self-compassion rather than self-criticism.

Why mental health changes after 40

Midlife is a time of biological, emotional and social change. Critical factors that impact mental health during this period include:

• Hormonal changes: fluctuations in estrogen and progesterone levels can influence serotonin production—the brain's “feel-good" chemical — affecting mood and sleep.
• Lifestyle changes —such as career transitions, children moving out, or increased caregiving duties — can reshape identity and daily life.
• Awareness of ageing: Becoming conscious of physical changes or reassessing life goals may lead to self-doubt or existential concerns.
• Chronic stress: Women often juggle numerous roles, leading to feelings of exhaustion, burnout, or chronic stress.

Recognising these patterns helps normalise midlife experiences and encourages seeking timely support.

Mental health challenges for women over 40

From hormonal changes to shifting responsibilities, women in midlife encounter distinct emotional pressures. Here are the most prevalent challenges and their causes. 1. Hormonal and sleep-related mood fluctuations: Changing hormone levels during perimenopause and menopause can result in mood swings, irritability, and emotional instability. These changes often coincide with sleep disturbances, such as insomnia or night sweats, which further affect mood and focus. 2. Anxiety and depression: Many women face heightened anxiety or midlife depression, frequently associated with hormonal shifts and life transitions. Ongoing sadness, fatigue, or feelings of hopelessness could indicate depression that necessitates professional support. 3. Stress and burnout: The demands of balancing work, caregiving, and family life can lead to significant strain. Long-term stress can lead to emotional exhaustion, diminished motivation, and physical symptoms such as headaches or muscle tension. 4. Cognitive and emotional self-image alterations: Brain fog, forgetfulness, or reduced concentration can lower confidence. Body image concerns related to weight, skin, or ageing may further affect self-esteem, as mentioned by Amira, a mental health expert and registered psychotherapist in ACT. 5. Grief and loss: Many women in their 40s confront losses, whether from loved ones, changing roles, or unmet life expectations. Grief can manifest as sadness, anxiety, or a yearning for significant life changes. 6. Changes in sexual health and desire: A decline in hormone levels can lead to decreased libido or discomfort during intimacy, impacting self-esteem and emotional connections within relationships.

How hormones affect mood and mental health

Estrogen significantly affects the regulation of brain chemicals that influence mood, including serotonin and dopamine. As levels fluctuate during perimenopause, women may encounter irritability, low mood or anxiety. Low estrogen can also disrupt sleep and increase fatigue, intensifying emotional sensitivity. Understanding these biological connections allows women to approach their mental health with kindness instead of guilt and fosters open discussions regarding treatment options like therapy, lifestyle changes, or medical intervention.

Self-care strategies for women over 40

Self-care during your 40s is not a luxury; it's vital. These methods can help you regain balance, foster resilience, and safeguard your emotional health.

1. Daily wellness practices

• Make sleep a priority: Aim for 7–9 hours of quality rest. Maintain a consistent bedtime, limit screen exposure in the evening, and develop a soothing nighttime routine.
• Stay active: Engaging in 30 minutes of physical activity, such as walking, yoga, or swimming, can elevate mood and alleviate stress.
• Eat a nutritious diet: Focus on whole grains, proteins, and healthy fats. Limit caffeine and added sugar to reduce energy crashes and mood swings.  Stay hydrated: Drink enough water throughout the day to support focus and energy levels.
• Limit screen time: Take regular breaks from electronic devices and social networks to decrease stress and prevent overstimulation.

2. Emotional care strategies

• Incorporate mindfulness and relaxation Practices, such as meditation, deep breathing, or journaling, to help manage anxiety. Even dedicating 5 minutes daily can be beneficial.
• Set clear boundaries: Learn to decline requests when necessary and delegate tasks whenever possible. Boundaries foster mental tranquillity.
• Cultivate gratitude: List three things you appreciate each day. This simple change can promote optimism and calmness.

3. Connection and personal growth

Strengthen connections with loved ones: relationships are a significant contributor to mental health. Maintain social engagement and pursue meaningful interactions.

• Participate in hobbies and creative activities: Engage in what brings you joy, whether it's painting, gardening, reading, or playing music. Such activities rejuvenate your energy and allow you to express yourself.
• Set achievable goals: Divide larger projects into smaller, manageable steps to sustain motivation and boost self-confidence.
• Seek professional help: If feelings of stress or sadness linger, consult a online GP or therapist. Seeking support is a sign of strength, not weakness.

When to talk to a GP or therapist

Consider professional assistance if emotional distress starts impacting your daily activities, such as ongoing sadness, panic, or extreme mood fluctuations. Other warning signs include:

• Persistent sadness or panic attacks, Disrupted sleep patterns or chronic tiredness
• Feelings of worthlessness or hopelessness
• Persistent physical symptoms like chronic pain or changes in appetite

Getting early support can help prevent symptoms from escalating and enable faster recovery. If you're unsure where to begin, a telehealth consultation can help you determine your next steps.

How Hola Health can support

Hola Health enhances access to mental health support specifically for women experiencing midlife transitions. With our 100% Medicare bulk-billed mental health care plan, you can:

• Consult with an Australian-registered GP. Obtain a customised care plan for therapy and counselling
• Get referrals to psychologists, social workers, or psychiatrists as needed. Request online medical certificates for stress-related leave
• Manage follow-up appointments from your own home
• Confidential, accessible, and tailored — all from the comfort of your home.

Conclusion

Amira, a mental health expert and registered psychotherapist, adds, "Your 40s aren't a decline; they're a powerful stage of rediscovery and renewal. By prioritising mental well-being, embracing self-care, and seeking help when needed, you can approach this decade with confidence and peace.  If you're ready to start, connect with a Hola Health GP today and create your personalised mental health care plan. "

FAQs

1. Do stress and anxiety tend to increase during perimenopause?

Yes. Hormonal variations, especially fluctuations in estrogen and progesterone, can intensify anxiety and emotional responsiveness. Mindfulness, physical activity, and therapy can help in managing these feelings.

2. Is it common to become more emotional after turning 40?

Absolutely. Emotional sensitivity often rises due to hormonal shifts, new responsibilities, and reflection on life goals. These emotions are valid and manageable with healthy coping strategies.

3. Can I receive therapy online through a mental health care plan?

Yes. With Hola Health's Medicare-subsidised Mental Health Treatment Plan, you can access online therapy, counselling, and follow-up appointments from home.