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Esther Kane

MSW, RCC

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Highly Sensitive Women and Menopause

6 June 2025 by Esther Kane

Because everybody learns differently, I have made this information into a YouTube video,  podcast and written blog post. I present them in this order. Enjoy!

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Highly Sensitive Women and Menopause

Highly sensitive women (often referred to as HSPs—Highly Sensitive Persons, a term popularized by Dr. Elaine Aron) may experience menopause differently or more intensely than others due to their heightened responsiveness to physical, emotional, and environmental stimuli. Here’s how menopause may uniquely affect highly sensitive women and what can help:

How Menopause Affects Highly Sensitive Women

  1. Amplified Physical Symptoms
  • HSPs may feel hot flashes, joint pain, or sleep disturbances more intensely.
  • Even minor bodily changes can feel overwhelming or disruptive.
  1. Heightened Emotional Sensitivity
  • Mood swings or irritability may be intensified.
  • Hormonal fluctuations can deepen existing anxiety, sadness, or emotional reactivity.
  1. Overstimulation and Fatigue
  • HSPs are more prone to overwhelm from loud noises, crowded environments, and multitasking—this becomes harder with menopause-related brain fog and fatigue.
  1. Deeper Processing of Change
  • Menopause can bring an identity shift or existential questioning. HSPs may dwell on this more, analyzing the meaning of aging, bodily changes, and life transitions.
  1. Greater Sensitivity to Medications
  • HSPs often react more strongly to drugs, including HRT or antidepressants. What works for others might feel too intense or cause side effects.

Strategies for Highly Sensitive Women in Menopause

  1. Gentle Lifestyle Support
  • Prioritize rest, solitude, and quiet time to process and restore.
  • Use calming practices like yoga, tai chi, or slow walking in nature.
  1. Emotional Support
  • Therapy with someone who understands sensitivity and hormone shifts (especially trauma-informed or HSP-aware therapists).
  • Journaling or expressive writing to help process feelings.
  1. Track Symptoms Mindfully
  • Use a symptom tracker to notice patterns (not obsessively, but supportively).
  • Note emotional triggers and cycles to feel more in control.
  1. Mind-Body Practices
  • Meditation, breathwork, and mindfulness can help regulate the nervous system.
  • HSPs respond well to gentle, non-invasive methods.
  1. Tailored Medical Support
  • Work with a provider open to personalized care—possibly someone trained in functional or integrative medicine.
  • Be upfront about sensitivities to medication or treatment intensity.
  1. Community and Connection
  • Join support groups (in-person or online) focused on menopause and/or HSPs.
  • Connect with others who understand the dual impact of sensitivity and menopause.

Need more?

Subscribe to my newsletter and receive the free report written for introverts and HSPs, 10 Tips for Getting Rid of Relationships That Drain Your Energy.

Contact me to set up a free 15-minute phone consultation to explore doing counselling sessions so that I can help you thrive as an HSP and/or introvert.

Check out the HSP series I am doing on my YouTube Channel and podcast: Compassionate Conversations.

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Esther’s therapy office is located in Victoria, BC. In-person, video, and telephone appointments available. To set up a FREE 15-minute phone consultation, contact me online or call 778.265.6190.

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