For many women the menopause is seen as a normal life stage. The way it is experienced can depend on the individual and culture the woman is from, for example with more negative attitudes to aging perhaps here in the United Kingdom than say other cultures where the transition can be seen as a sign of increased wisdom and status. These kinds of example draw upon a more complex picture of what menopause can mean to a woman, her underlying beliefs and attitudes affecting thinking, feeling and physical symptoms in a cycle.

Cognitive Behavioural Therapy (CBT) is strongly evidence based and backed by the National Institute of Health and Care Excellence (NICE) and can help with low mood, anxiety, hot flushes, and sleep, and helps to develop different more self-supportive ways to think.

CBT as supported by the NHS and by the British Menopause Society (BMS) provides increased awareness of how thoughts, feelings and behaviours are linked. Replacing and practising more self-supportive thoughts and thinking can ease menopausal symptoms. As can significant psycho-education about how sleep really happens.