Dealing with Anger Attacks During Menopause
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Dealing with Anger Attacks During Menopause

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Menopause is a natural phase in a woman’s life, marking the end of her reproductive years. Unfortunately, many physical and emotional stumbling blocks frequently accompany menopause, including unpredictable anger attacks. Menopause typically occurs in women during their late 40s to early 50s. Hormonal fluctuations during this time lead to irregular menstrual cycles, changes in the frequency and intensity of periods, and numerous physical and emotional symptoms.

The aspect of menopause that often takes women by surprise is the emergence of anger attacks. These sudden bursts of anger can be overwhelming and challenging to manage. Here, we will delve into what anger attacks are, why they are more common during menopause, and offer practical and medical strategies to manage their frequency and intensity.

Understanding anger attacks

Anger attacks, also called rage attacks, are intense outbursts of anger that can occur suddenly during menopause and seemingly lack a clear trigger. Regular anger is normally a response to a specific situation or source of stress. Conversely, anger attacks in menopause can be overwhelming and way more intense than one would expect from their triggers. Triggers can be tiny and completely unrelated to the following emotions of an anger attack. This leaves sufferers and those around them feeling helpless and bewildered.

Anger attacks in menopause are essentially the most intense expression of a very common menopause symptom, irritability. People going through menopause deal with mood swings, anxiety, and depression. Anger attacks involve physical symptoms such as a rapid heartbeat, sweating, and a rush of adrenaline. This all can come on at just a moment’s notice and leave just as quickly.

The connection between menopause and anger attacks

The hormonal fluctuations of menopause play a major role in the emergence of anger attacks. During menopause, a woman’s ovaries gradually produce fewer hormones, particularly estrogen and progesterone, leading to the halt of menstrual cycles and fertility. Estrogen affects the regulation of neurotransmitters like serotonin and dopamine, which impact mood. This hormonal shift leads to emotional instability and make women more susceptible to experiencing anger attacks.


The emotional toll of menopause itself creates added stress that is an easy trigger for anger attacks. Menopause is a major turning point in peoples’ lives. It signals the end of child-bearing and a transition to a new stage of life. This can bring feelings of grief, especially for people who wanted more children or who associate their sense of self with their ability to have kids. Additionally, the physical changes that accompany menopause can hurt people’s self-esteem and body image.

Practical Strategies for Managing Anger Attacks

1. Learn about your body.

Congratulate yourself because you are doing this one right now! Educating yourself about the hormonal fluctuations that occur during menopause and how they can contribute to anger and mood changes is a great first step. This knowledge can help you better understand and manage your emotions during this transitional phase.

2. Identify your major sources of stress.

Keeping a journal about your moods and emotions is incredibly helpful for anyone dealing with a mental health challenge. The same goes for menopause. Keeping a journal enables you to track situations, environments, or specific triggers that precede anger attacks. This can help you manage anger more effectively.

3. Relaxation techniques.

Engaging in things like mindfulness, deep breathing exercises, and progressive muscle relaxation can help you manage anger attacks. We have a whole article on this. Check it out! Regular exercise also can help manage stress, release pent-up energy, and improve your mood. Try to get roughly 30 minutes of moderate exercise, such as walking, biking, or swimming, at least 4 or 5 days a week.

4. Communication and support.

Seeking support from loved ones, friends, or a support group can be a great help during menopause. With family who often witness menopause-related anger, practicing communication skills is a must. Learning to express your feelings and needs in a healthy manner can cut down on tension and mend strained relationships. Support groups are another great resource. Talking with people who understand what you’re going through can provide validation and comfort. They can offer advice, share coping strategies, and provide a listening ear when you need to vent.

Medical Solutions to Anger in menopause

1. Psychotherapy.

Plenty of women seek emotional help in the form of therapy during menopause. This can be something as simple as supportive therapy, where the therapist offers emotional assistance and guidance, to a skills-based therapy like cognitive-behavioral therapy. CBT can help anyone learn coping mechanisms to manage anger and stress. This is extremely useful in numerous mental health conditions as well as in managing menopause symptoms.

2. Hormone Replacement Therapy (HRT).

For women experiencing severe mood disturbances during menopause, HRT can help regulate hormone levels and alleviate emotional symptoms, including anger attacks. HRT is normally helpful in addressing menopause symptoms, particularly instances of hot flashes, vaginal dryness, and night sweats. However, hormone therapy is a multifaceted approach. Incorrect usage can potentially elevate the chances of uterine cancer, breast cancer, heart disease, and stroke in women. It’s crucial to discuss the potential benefits and risks with a healthcare professional.

3. Medication.

When menopause-related anger attacks significantly disrupt daily life, a doctor might prescribe medications like antidepressants or anti-anxiety drugs. These may only need to last while a woman is going through menopause and can end once hormone fluctuations calm down.

References
  1. Hormone Therapy for Menopause: Types, Benefits & Risks. (2023). Retrieved from https://my.clevelandclinic.org/health/treatments/15245-hormone-therapy-for-menopause-symptoms on 8/14/23.
  2. Menopause and your mental wellbeing. (2023). Retrieved from https://www.nhsinform.scot/healthy-living/womens-health/later-years-around-50-years-and-over/menopause-and-post-menopause-health/menopause-and-your-mental-wellbeing on 8/14/23.
  3. Menopause and Anger Toward Husbands: The Rage is Real. (2018). Retrieved from https://www.mindsethealth.com/matter/menopause-and-anger-toward-husbands on 8/14/23.
  4. Mood swings during menopause: Causes and treatments. (2017). Retrieved from https://www.medicalnewstoday.com/articles/317566 on 8/14/23.

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