Menopause, Tramautic Stress & Brain Injury Among Service Women and Vets

Cognitive HealthExperiencesMenopause
Written By Mary Lee

As we navigate through life, certain phases bring about unique challenges that deeply impact our well-being. One such intersection that often remains unexplored is the connection between menopause and post-traumatic stress disorder (PTSD), especially in the context of servicing and veteran women, including first responders.

This blog article delves into the complexities of this relationship and sheds light on how experiences in service to others intertwine to shape the journey of uniformed women. Further, it explores menopause literacy in communities where serving and veteran women can feel better supported with tools that promote awareness and education in the workforce.

Understanding the Journey

The journey of menopause is a natural phase that women go through, marked by significant hormonal changes. However, for women who have served in uniform—whether in the military or as first responders—and have experienced trauma during their service, including incidents such as combat, sexual assault, or traumatic brain injury (TBI), the onset of menopause can amplify symptoms of PTSD. TBI, resulting from impacts during deployment, accidents, or other traumatic events, can cause lasting cognitive, emotional, and physical effects that complicate the menopausal transition. The hormonal fluctuations in estrogen and progesterone levels can intensify anxiety, depression, and mood swings, making it a particularly challenging time for these women. One of the important qualities of estrogen is its neuroprotective and antidepressant effects. Naturally, when it drops, there are adverse effects on mood and depressive symptoms. In fact, depressive episodes in women, in general, appear to be linked to hormone changes, according to a publication in The National Library of Medicine.

But understand, depressive symptoms during the menopausal transition are common and should not be negatively perceived. According to Mandy Stenehjem, for the Master of Physician Assistant Studies (MPAS) program at the University of North Dakota, treatment guidelines strongly advise early screening and initiating conversations around perimenopause and the associated mood symptoms. Only then can depression in perimenopause be properly identified and a more individualized treatment plan developed based on severity.

Impact on Mental Health

The coexistence of menopause, PTSD, and TBI can present a complex clinical picture, manifesting as heightened anxiety, irritability, difficulty sleeping, and triggered traumatic memories. The vasomotor symptoms—hot flashes and night sweats—common to menopause, can further exacerbate existing PTSD and TBI symptoms, creating a cycle of emotional and psychological distress for these women. Research indicates that women with PTSD are more vulnerable to depression during this period, with rates ranging from 20% to 40%. Factors such as a history of depression, early menopause, vasomotor symptoms, and previous TBI influence this heightened risk, according to the MGH Center for Women's Mental Health.

To effectively navigate this intersection, healthcare providers must recognize the specific needs of serving and veteran women experiencing menopause with PTSD and TBI. Early screening and open conversations lead to appropriate support, but many women may go undiagnosed or untreated due to misconceptions about menopause. Enhancing education and providing accessible tools for depression screening and awareness are essential to prevent this vulnerable group from falling through the cracks.

Seeking Support and Treatment

Psychotherapy, particularly cognitive behavioral therapy (CBT), can help develop coping strategies to manage symptoms. The Centre for Women's Mental Health defines CBT as a brief, goal-oriented psychotherapy that emphasizes skills development, focusing on the interplay between thoughts, emotions, and behaviors. It aims to empower women by helping them adjust unhelpful thought patterns and behaviors that may contribute to their distress.

For severe depressive symptoms, stressful life events, or significant mood fluctuations, treatment may also include antidepressants. However, as emphasized previous blog article, antidepressants should be prescribed cautiously and only after a thorough assessment by a healthcare professional, considering each woman’s unique situation (Stenehjem, 2023).

Building Awareness and Support

Educating society about the intersection of menopause, PTSD, and TBI is vital in ensuring women in this demographic receive the necessary resources and support. Destigmatizing conversations around these issues within military and civilian communities can foster an environment where women feel safe to seek help and healing.

The journey of menopause and PTSD, especially among women who have experienced TBI in service roles, is multifaceted—marked by challenges but also resilience. By raising awareness, advocating for comprehensive care, and fostering open dialogue, we can empower these women to navigate this intersection with strength and grace. Seeking professional help, joining support groups, or confiding in trusted individuals is a crucial step toward healing and reclaiming their well-being.

Empowering Women Through Menopause Literacy

Remember, you are not alone in this journey. There is hope, help, and healing available. Let’s continue to support and uplift each other as we navigate these phases of life.

Shining a light on the often-overlooked intersection of menopause, PTSD, and TBI in military and first responder women can bring about better support and resources for those suffering — often silently. By acknowledging and addressing the unique challenges faced by these individuals, we create a more compassionate and understanding environment for their healing journey be it in military, emergency services, policing, or the civilian workforce, as well as the broader community.

The demand for hormone health education is growing as women show increasing curiosity for understanding this significant stage in their lives. So, creating a community approach toward menopause literacy is essential everywhere, from healthcare settings to places of work, as well as throughout local communities. This is where a licensed menopause champion can come in to play.

Tools for change

Through workshops, webinars, and coaching, The Menopause Expert Group (MEG) provides their licensees with essential tools to destigmatize menopause, promote open conversation, and empower communities. If you’re interested in hosting an event that addresses the needs of individuals experiencing menopause, consider partnering with a MEG Licensed Menopause Champion. Together, you can foster an inclusive and supportive environment where individuals feel seen, heard, and empowered to navigate this life stage confidently. A licensed Menopause Champion can serve as your in-house expert, bringing vital education, awareness, and practical tools to help create a more supportive and inclusive workplace environment.

References

Mary Lee
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