Neurosis in the climacteric period. Treatment of climacteric neurosis with vegetative-vascular disorders. How does VSD manifest in climacteric neurosis

Climacteric neurosis (symptoms and treatment are almost impossible to recognize and carry out on their own) is an acute problem for women of Balzac's age. Menopause is an unpleasant but inevitable period in the life of any woman. Usually occurs at 45-55 years old (for smokers - several years earlier). By this time, the production of hormones decreases, the metabolism slows down, the cells are renewed less and less. It is during menopause that many diseases arise that have not manifested themselves before. The hormonal function of the female body (ovaries) often fades over three to four years. The process is accompanied by changes, including mental ones. After the onset of menopause, climacteric syndrome is observed in more than half of the patients.

The severity of the syndrome depends on the state of the body in premenopause (this is the period from the first menstruation to the disappearance of regular "critical days"). Most often, women complain during the climacteric period of neurotic disorders. Climax is stress for the body, but, in addition, it affects the psychological self-awareness. Not all people perceive the approach of old age in the same way. Someone loses interest in beauty, ceases to take care of themselves. Others, on the other hand, are too young. Both behaviors are the result of a psychological shock, often requiring the help of a qualified psychotherapist.

A very unpleasant companion of menopause is climacteric neurosis, the symptoms and treatment of which vary greatly depending on the severity of the pathology. If any of the relatives has a similar problem, you should certainly provide all kinds of support. It is often difficult for family members to endure the constant irritability of a wife or mother, but it is necessary not to be offended, but to understand - this is not a manifestation of a bad character, but a disease. Calmness, love and understanding of loved ones are indispensable for neuroses.

Causes of neurosis during menopause

Doctors previously called the reason for this type of neurosis changes in the level of hormones - gonadotropins, estrogens. It is this change that leads to menopause, while simultaneously affecting other body systems.

However, studies have been conducted among women before and after menopause. It turned out that about 15% of cases of climacteric neurosis are found in women with regular menstruation and normal hormone levels. Almost 40% of patients suffered from this ailment 5-15 years after menopause, although their hormone levels were already stable. And half of the participants in the study simultaneously observed cycle disorders of a different nature and symptoms of neurosis. As a result, it was concluded that a decrease in the level of hormones, the onset of menopause, neurotic symptoms are the consequences of age-related changes in the hypothalamus.

The hypothalamus is responsible not only for endocrine functions, but also for the emotional state and human behavior. That is, menopause and neurosis are parallel consequences of the brain work programmed by our age. Scientists argue about the prevalence of neurotic disorders. According to research data, patients suffer from the disease in 15-85% of cases. This is too wide a spread, not to be considered statistical. Therefore, psychotherapists, endocrinologists, gynecologists came to the conclusion: on average, neurosis with menopause is manifested in half of women.

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Menopause symptoms

Physical, autonomic symptoms are manifested as follows:

hot flashes (redness of the face, neck, shoulders with a feeling of heat);
heart pain - cardialgia (not organic);
increased production of sweat;
tachycardia;
dizziness, shortness of breath, tinnitus;
flatulence or constipation;
pain, itching when urinating and in the genital area;
fatigue;
"Goosebumps" - paresthesia;
immediately after menopause, in most patients, the fragility of bones increases, and diseases of the heart and blood vessels begin.

Changes in hormonal levels can lead to serious complications, among them: cancer of the mammary glands and female genital organs, mastopathy, osteoporosis. To prevent them, you need to visit a doctor regularly.

According to statistical medical data, pathology in the form of neurosis appears with menopause only in 40-60 percent of cases. A significant factor is the presence of neurotic disorders in the anamnesis before menopause. A woman's inadequate experience of her condition, an increased reaction to changes in weight, figure, posture, and the appearance of wrinkles are the main signs of climacteric neurosis.

Other symptoms:

insomnia, poor sleep;
constant fatigue;
irritability and nervousness;
resentment;
unstable emotional state (sudden mood swings);
tearfulness;
suspiciousness;
headache;
indifference to appearance or excessive preoccupation with it.

Depression, apathy, isolation are considered a dangerous complication of neurosis. The reason for the depressed mood is the woman's feeling of her "unsuitability" due to the extinction of her reproductive function. The patient feels unnecessary either in the family or in society. Fears, anxiety, fear of loneliness appear.

Depression is not amenable to therapy. Medicines are indispensable. Often, according to statistics, it is at the age of 40-50 that people suffering from depression try to commit suicide. However, suicidal tendencies and attempts can be observed at any age and require qualified medical care.

The desire to prove to others and to yourself that you are in demand sometimes becomes manic. In this case, climacteric neurosis resembles bipolar disorder - a series of mania and depressive states.

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Pathology treatment

With a low severity of the clinical picture, there is nothing to be afraid of - with the completion of menopause and the establishment of menopause, the symptoms of neurosis will pass by themselves. There will be no mental consequences in the postmenopausal period.

Serious therapeutic measures are needed by those whose neurotic symptoms affect normal life, leading to maladjustment in society.

In this case, therapy should be comprehensive. Basic principles:

providing the patient with the correct diet and sleep and wakefulness regimen;
it is necessary to give up coffee, tea, hot spices and other foods (especially those rich in cholesterol) that have an exciting effect;
the diet should be saturated with dairy products, vegetables, fruits;
sleep is the main component of therapy. Sleep pills should be taken for insomnia;
treatment of climacteric neurosis in a sanatorium or at least frequent walks in the fresh air is indicated;
herbal medicine, massage, hydrotherapy;
physiotherapy exercises (exercise therapy);
psychotherapy, regular appointments with a psychologist;
in difficult cases, medications are prescribed to restore hormonal levels, antipsychotics, psychiatric drugs of a sedative type, anti-manic action, antidepressants.

It is forbidden to take (choose) any medications on your own - they must be prescribed by a doctor.

The drug Klimadinon is popular on the market. It has a calming and vegetative effect. But he has contraindications, which must not be forgotten - therefore, the use of the drug is possible only after consulting a doctor.

In addition to the named therapeutic principles, it is necessary to remember that the situation in the family, at work, affects the psyche very strongly. Relations with husband, children, colleagues in the early stages of therapy are more important than pills. But medical care cannot be neglected - the disease must not be tolerated, but treated. Without the correct treatment tactics chosen by the doctor, neither the husband nor the children will cure climacteric neurosis, and with her hot-tempered behavior, a woman will only provoke problems with the nervous system for them.

The development of climacteric neurosis depends on many factors. The main thing can be called a history of neuroses before this period. People of choleric temperament are more prone to manic manifestations, and women who are melancholic are more likely to suffer from depression.

Sooner or later, a middle-aged woman is faced with the manifestations of menopause. This is a natural condition in which the sex glands stop working. The extinction of the reproductive function is accompanied by various ailments. Some patients are debilitated by neurosis during menopause.

Causes of nervousness during menopause

Many ladies have menopause with complications. From a medical point of view, this is easy to explain. The body depends on hormones. Estrogens are the invisible protectors of the patient's mental and physical health. When their production by the ovaries decreases, women experience disruptions in the menstrual cycle. After a while, it stops, and the woman loses the ability to bear children.

The sharp decrease in estrogen in the blood becomes a serious stress for the patient's body and nervous system. Often, women develop climacteric neurosis with vegetative-vascular disorders.

What happens when ovarian production of estrogen stops:

vessels become less elastic;
the patient's metabolism slows down;
the skin loses its elasticity.

Not all women can be philosophical about the withering of their beauty.

Impressionable and suspicious natures can fall into prolonged depression. A vulnerable woman perceives the aging of her body with rejection and bitterness.

One of the causes of neuroses in middle-aged patients is changes in the hypothalamus. This is the name of the diencephalon section, which regulates the work of the most important glands of the human body. This part is connected by nerve pathways with almost all parts of the central nervous system.

The hypothalamus regulates the following reactions of the human body:

feeling of hunger and satiety;
falling asleep and staying awake;
sex drive.

This organ affects a person's ability to memorize information, the emotional state of the patient. It is easy to guess that age-related transformations of the hypothalamus affect the work of the most important organs of a woman.

Manifestations of the problem

Common symptoms of climacteric neurosis in women:

increased sweating;
dyspnea;
noise in ears;
sharp jumps in blood pressure;
heart pain;
a feeling of unbearable heat, which is accompanied by redness of the skin;
increased irritability;
apathy;
tearfulness;
a sharp change in mood.

The woman complains of constant fatigue. She may also have trouble sleeping. Many ladies at this time of life are worried about the numbness of the arms and legs. This unpleasant condition develops due to circulatory disorders.

Climacteric neurosis, manifested by vegetative-vascular pathologies, is eliminated by preparations with phytohormones. The patient may need sedatives.

Others may notice that the woman has increased suspiciousness. During menopause, a lady may exaggerate her ailments, as well as with painful attention to perceive signs of aging (gray hair, wrinkles, age spots on the skin). Ladies over 45 years old often go to extremes regarding their appearance. They are of two types.

The woman stopped taking care of herself and taking care of the neatness of her clothes.
The lady resorts to bold methods of rejuvenation (makes Botox injections, turns to plastic surgeons for help). Many women dress too brightly, provocatively.

A sociable woman during menopause can turn into a strict recluse, who does her best to avoid visiting crowded places. Ladies who used to be self-confident become touchy and whiny. Some women during menopause are terrified of being alone. They can be exhausted by the fear of a young rival. The most dangerous manifestation of neurosis is suicidal thoughts.

Frequent ailments

People who are far from medicine may think that neurosis during menopause is the usual whims of middle-aged women. This opinion is wrong. Every second woman encounters painful symptoms of climacteric neurosis to one degree or another.

There is a dangerous relationship between the instability of a lady's emotional state and physical ailments. Deterioration of well-being causes a woman's temper and tearfulness. Too violent emotional reactions become the culprits of tachycardia (heart palpitations), shortness of breath and insomnia.

Severe discomfort for women is caused by a decrease in the functions of the vestibular apparatus. How these changes manifest themselves:

a woman is sometimes worried about an imbalance;
dizzy.

Vascular pathologies are frequent companions of menopause. The heart also has to deal with increased stress.

A cough with menopause indicates that a woman does not have enough oxygen. Emotional instability is to blame for this malaise. The patient is in a negative mood, therefore she is too worried about her appearance, is suspicious of any criticism (even one that is not related to her appearance). As a result of frequent excitement, healthy hearts begin to work intermittently.

Physical weakness and the inability to get a good night's sleep also negatively affect the general condition of the lady. including its appearance. A woman's desire to keep herself in good shape disappears. If earlier she devoted time to morning exercises every day, during menopause she can give up on herself.

Constant nervous tension can have such dangerous continuation as uterine bleeding and glaucoma.

Complicating factors

Two women of the same age may have different intensity manifestations of menopause. Menopausal neurosis and its symptoms hit women most painfully who do not care too much about their health. The course of menopause is complicated by the following habits:

smoking;
frequent consumption of sugar, rich foods;
love of salty and smoked food;
decreased physical activity;
addiction to tea and coffee.

Elimination of neurosis

Whatever ailments overwhelmed with menopause, you should not get discouraged. Seeing a doctor will help avoid aggravating neurotic symptoms. Some women are embarrassed to consult a neurologist, ignore painful conditions. As a result, the illness can lead to personality disorders.

Do not close your eyes to the existing problem. Modern medicine is armed with effective methods of dealing with menopausal neurosis. Patients who adhere to the doctor's recommendations soon noted that their emotional background had stabilized.

Special treatment will help get rid of the signs of neurosis in menopause.

Replenishment of the lack of estrogen. If a woman consults a specialist in the early stages of a neurotic disorder, the doctor may advise her on homeopathic remedies. Medicines with synthetic estrogens help to achieve positive changes.

A soothing massage is a great way to tidy up unbalanced emotions.
Antidepressants.
Sedatives.
Psychotherapy sessions.
An important assistant in the normalization of the psychological well-being of a woman is physiotherapy exercises.

Traditional methods of treatment

For climacteric neurosis and its symptoms to remain in the past, healing must be comprehensive. It is possible to treat a woman with folk remedies if the ailment has manifested itself recently, but without consulting a doctor, the patient will not be able to determine what the body and nervous system need most.

We will consider the proven ways to eliminate neurotic manifestations in detail.

Dill Elixir. You need to take 3 tbsp. l. dill seeds and pour boiling water over. The liquid is poured into a thermos, where it is infused for an hour and a half. Add a liter of cool water to the resulting infusion. Drink dill water a tablespoon 3 times a day. The course of treatment lasts a month.
Tea made from mint leaves. A spoonful of fresh or dried plant is taken per liter of boiling water. Infusion of oregano: 2 tbsp. l. herbs need to pour 200 g of boiling water and leave for 5 hours. They drink it three times a day, 10 minutes before meals.
Healing baths with herbs. Chamomile and thyme work best.

A balanced diet plays an important role in normalizing a woman's emotional background. Eating fresh vegetables, fruits, nuts, raisins, dried apricots, boiled turkey and beef will help saturate the body with useful substances. And in youth, and in the "autumn time" women should not give up sea fish and dairy products.

Conclusion

The onset of menopause affects not only the physical well-being of the lady. Menopause can seriously shake the patient's emotional background. Many develop neurosis. The causes of the disease are age-related changes affecting the hypothalamus, as well as a deficiency of estrogen in the patient's blood. Loss of interest in life, increased suspiciousness, causeless fear, dizziness, numbness in the hands are common ailments that bring discomfort to women. It is possible to eliminate the symptoms of the disease if the patient contacts a specialist in a timely manner.

Content

Often, the course of menopause is complicated by climacteric neurosis, which is manifested by VSD and panic attacks. Symptoms of this condition significantly worsen the quality of life of a woman and need timely treatment with sedatives and antidepressants. Lack of treatment, which includes taking antidepressants, anti-anxiety medications, can provoke complications.

Climacteric neurosis and the causes of its occurrence

The reproductive function of a woman begins to fade with menopause. This is a natural stage in the development of the female body, which consists in the gradual cessation of the synthesis of sex hormones by the ovaries.

Despite the fact that menopause directly includes changes in the functioning of the ovaries, this process affects the entire body of a woman. This is due to the fact that hormones produced in the ovaries provide and regulate the functioning of various internal organs.

For the functioning of the female body, estrogens are extremely important. These hormones are produced by the woman's follicular apparatus. It is noteworthy that estrogens are capable of self-transformation in various tissues. For example, estrone can be converted to estradiol.

At birth, the female body contains about 2-3 million eggs. A small proportion of the eggs are lost during ovulation. In the first phase, hormones ensure the growth of several follicles, which also synthesize the necessary hormones. By the middle of the cycle, the highest quality follicle with a viable egg remains. The rest of the follicles are discarded. During ovulation, the follicle membrane breaks open, releasing an egg that can be fertilized. The ovum is viable for two days. In place of the follicle, a cystic corpus luteum is formed, producing progesterone. On the eve of menstruation, in the absence of conception, the corpus luteum regresses.

Before the onset of menopause, about 10,000 follicles remain. After the cessation of menstruation, single follicles are noted, which also soon disappear. The ovaries decrease in size.

With a sharp drop in estrogen, an increased production of FSH and LH is observed. This mechanism is required to increase estrogen levels. Nevertheless, with menopause, the synthesis of sex hormones continues to decline.

With menopause, there is a decrease in the synthesis of estrogen until it stops completely. The female body reacts negatively to estrogen deficiency, since these sex hormones:

regulate the activity of the cardiovascular, nervous and endocrine systems, musculoskeletal system, gastrointestinal tract;
ensure the supply of calcium and phosphorus to the bones;
strengthens nails, hair;
affect the processes of thermoregulation and metabolism;
affect vascular tone, skin elasticity;
are responsible for the female body type.

With the onset of menopause, the woman's body first adapts to the lack of hormones, and then to their complete absence. Every woman has a different course of menopause, has its own set of symptoms.

Gynecologists note that menopause is a long process necessary for the body to fully adapt to the extinction of hormonal function. The slower the synthesis of hormones stops, the less there are consequences and complications.

There are several phases of menopause, unequal in duration.

Premenopause starts at about 45 years old. Perhaps earlier or later onset of menopause, which can be both normal and pathological. At this stage, there is a decrease in the synthesis of estrogen, which affects primarily the menstrual cycle. Discharge during menstruation becomes abundant or scarce, and the cycle itself may lengthen or shorten. If you ovulate spontaneously, pregnancy may occur. The main symptoms in the premenopausal period are hot flashes, pressure surges, heart pain, tachycardia, headaches, and VSD.
Menopause occurs 4-5 years after the onset of premenopause. Menopause includes the date of the last menstrual period, after which there should be no bleeding for a year. In the foreground are urogenital disorders, which include the processes of atrophy of the mucous membranes, changes in the qualities of cervical mucus.
Postmenopause is the longest period, which lasts up to 65-69 years. During postmenopause, various metabolic disorders are possible. The risk of atherosclerosis, stroke, heart attack and Alzheimer's disease increases significantly.

The start of menopause is conventionally considered the age of 45 years. It is impossible to accurately determine the onset of menopause due to the lack of expression of the first symptoms. Women without serious pathologies have a mild course of menopause. Gynecological and extragenital pathologies, which can lead to climacteric neurosis, significantly worsen the manifestations of menopause.

The age at which menopause occurs depends on the following factors:

heredity;
working and environmental conditions;
accompanying illnesses;
bad habits.

Menopause occurs earlier in women living in mountainous areas. Smokers have an early onset of menopause. To some extent, this factor reduces the risk of developing uterine cancer.

The onset of menopause can be:

physiological;
early;
late.

The early and late onset of menopause does not always testify in favor of pathology. In 3-5% of women, menopause develops earlier due to a genetic predisposition. In women who smoke, menopause occurs three years earlier. In representatives with a history of myoma, menopause occurs later due to the influence of an estrogen-producing tumor. In addition, menopausal syndrome usually does not develop in this category.

Late menopause deserves close attention from both doctors and the woman herself. Often, hormone-producing malignant tumors are disguised as late menopause, the risk of which increases with age. In particular, breast and endometrial cancers are the leaders in terms of prevalence.

Early menopause often indicates the syndrome of premature ovarian failure, which can be observed at 38 years old. Hormone levels plummet, causing shock in a young body, accompanied by severe symptoms. It is in this case that climacteric neurosis can develop. If the depletion of the ovaries occurs in a total form, the follicles are completely adhered. With a lighter course, spontaneous ovulation may occur.

Early menopause develops when the ovaries are removed or as a result of damage to the follicular apparatus. The synthesis of hormones stops abruptly, causing the appearance of climacteric neurosis. Usually, hormone replacement therapy and sedatives are recommended in such cases.

Often, climacteric neurosis develops in women, whose body cannot adapt to hormonal extinction. Usually climacteric neurosis is observed in women with a history of various somatic pathologies.

Menopause neurosis is a serious complication in which there is a need for diagnosis and treatment. If untreated, dangerous consequences develop, for example, a change in a woman's personality.

About 60% of women experience symptoms of climacteric neurosis to one degree or another. More recently, experts have associated symptoms that are characteristic of climacteric neurosis, for example, VSD and panic attacks, with estrogen deficiency. Currently, the role of age-related changes in the functioning of the hypothalamus has been proven.

Menopause symptoms affect the psychological state of a woman, especially if panic attacks are observed. However, they are a kind of intensifier of symptoms in climacteric neurosis, but not its cause.

The development of symptoms of climacteric neurosis may be associated with the following factors:

genetic predisposition;
individual personality characteristics;
prolonged stress;
weakening of immunity;
prolonged mental and physical stress;
wrong lifestyle;
deficiency of vitamins and minerals;
sleep disorders.

It is known that climacteric neurosis can be caused by one or several factors. Only a doctor can determine the cause and prescribe sedatives after an examination.

It should be borne in mind that under the symptoms of climacteric neurosis, various metabolic disorders, vegetative-vascular disorders, for example, VSD, can be hidden. In addition to panic attacks with menopause, sometimes serious mental disorders are identified that need treatment.

Development stages and symptoms

Climacteric neurosis is characterized by the presence of the following signs:

chronic fatigue and irritability;
increased sweating;
sleep disorders;
hypertension;
pressure surges;
heart pain and tachycardia;
lability of mood;
noise in ears;
emotional instability;
apathy;
critical attitude to their appearance;
dizziness;
loss of appetite.

Climax and neurosis are not always interconnected. In some women, neurosis does not develop in menopause.

Climacteric neurosis includes several types of mental disorders:

asthenic: decreased memory, fatigue, decreased performance;
depressive: prolonged bad mood, depression;
hypochondriacal: excessive concern about your health, attributing to yourself the symptoms of various diseases;
hysterical: instability to stress, touchiness, tearfulness, moodiness.

Symptoms of climacteric neurosis must be treated promptly. It is known that the treatment of symptoms of climacteric neurosis, for example, VSD and panic attacks, is the prevention of many complications.

The hypothalamus for the functioning of the autonomic nervous system. The hypothalamus influences the stable course of metabolic processes, the violation of which can lead to osteoporosis.

Climacteric neurosis takes place in three stages.

Harbingers of neurosis appear. The woman experiences the first irregular symptoms. That is why women usually ignore the symptoms, attributing them to fatigue.
There is an increase in the severity of symptoms. As a rule, women visit a doctor at this stage. In the absence of treatment, climacteric neurosis transitions to the next stage.
Serious changes are observed that affect the structure of the personality. The selected treatment is not effective.

Panic attacks

In 15% of cases with menopause, symptoms of panic attacks are detected. Women experience an uncontrollable sense of fear that significantly reduces their quality of life.

Fear is a natural feeling associated with the instinct for self-preservation. However, with climacteric neurosis, fear arises unreasonably and for no reason.

Panic attacks are manifested by causeless anxiety and fear. The uncontrollable symptoms of panic attacks appear as a result of malfunctioning of the nervous system. At the same time, the female body experiences stress, which causes increased production of cortisol and adrenaline.

In addition to fear and anxiety, a woman with panic attacks has the following symptoms:

cardiopalmus;
difficulties associated with the act of breathing;
pressure surges;
fainting;
dizziness and headache;
rapid pulse;
nausea;
chills;
numbness of hands and feet;
hot flashes.

With climacteric neurosis panic attacks occur against the background of malfunctions of the autonomic nervous system, vasospasm.

Panic attacks are similar to attacks of heart pain. The duration of a panic attack varies from a few minutes to several hours.

The mental manifestations of panic attacks include:

a sense of danger;
fear of death and insanity;
lump in the throat;
distortion of reality;
clouding of the mind;
lack of control over their own actions.

With climacteric neurosis, unusual symptoms of panic attacks sometimes appear:

loss of voice;
violation of gait;
speech problems;
hearing and vision impairment.

Panic attacks often develop with the following pathologies:

migraine;
diseases of the cardiovascular system;
diseases of the adrenal glands and thyroid gland;
allergy;
smoking and excessive alcohol consumption.

Treatment of panic attacks includes taking sedatives, antidepressants, tranquilizers, hormonal drugs, massage, breathing exercises, psychotherapy. Treatment for panic attacks is lengthy and not always effective.

During an attack of a panic attack, experts recommend breathing exercises. The woman takes in air for three seconds, holds her breath, exhales. The technique includes 15 repetitions. For some women, it helps to think about something pleasant to distract from negative thoughts and abstract from feelings of fear. Call an ambulance if severe symptoms occur.

Prevention of panic attacks includes:

full sleep, which should be at least 8 hours;
rejection of bad habits;
lack of stress;
observance of the regime of work and rest;
breathing exercises and light physical exercises;
proper balanced nutrition;
drinking regimen.

Panic attacks need to be treated by a specialist. Self-treatment can cause panic attacks to progress.

VSD

Symptoms of climacteric neurosis are often associated with VSD. This pathology has the following reasons for its appearance:

the effect of estrogen deficiency on the functioning of the central nervous system and the brain;
circulatory disorders and changes in vascular tone;
cholesterol deposits on the walls of blood vessels;
metabolic disorders;
obesity;
improper nutrition;
hypodynamia;
stressful condition;
smoking.

VSD with climacteric neurosis is manifested by the following symptoms:

weakness and fatigue;
asthenic syndrome;
pressure drops and rapid heart rate;
panic attacks;
violation of thermoregulation;
severe headaches;
lability of mood;
bitterness in the mouth;
heart pain;
nausea and vomiting;
frequent urination;
increased nervousness.

With climacteric neurosis, four forms of VSD can develop.

Cardiological. The following symptoms occur: heart pain, palpitations, pressure surges.
Hypertensive. Symptoms associated with increased blood pressure increase: hot flashes, sweating, palpitations, headache, panic attacks.
Hypotonic. The pressure drops, asthenic syndrome, dizziness and fatigue occur. Symptoms include nausea and vomiting, mood lability, panic attacks, and bitterness when lying.
Mixed. Symptoms are varied and do not apply to any of the above forms.

With VSD, it is important to carry out differential diagnostics with pathologies of the cardiovascular system. Treatment includes normalization of sleep, work and rest regimen, nutritional correction, physical activity, taking vitamins, hormonal and homeopathic remedies, sedatives, antidepressants and traditional medicine methods.

Treatment

The prescribed treatment depends on the severity of the climacteric neurosis. In the early stages, doctors advise paying attention to the following components.

Adequate sleep. It's important to go to bed on time. The duration of a night's sleep should be at least eight hours. It is also necessary to observe the regime of work and rest. Take regular breaks while working.
Balanced diet. During menopause, nutrition plays an important role. The diet helps prevent many pathologies, in particular, climacteric neurosis and panic attacks. Fatty, spicy and salty foods, strong tea, coffee and alcohol are excluded.
Outdoor walks and physical activity. Staying outdoors and exercising are beneficial for psychological well-being and health.

Treatment for climacteric neurosis is selected individually. Often, with panic attacks and VSD, sedatives and antidepressants are prescribed.

Hormonal drugs

Often, neurosis and menopause are interconnected. Estrogen deficiency affects the work of the cardiovascular and nervous systems, in particular the autonomic system. In addition, all the centers of the brain are located in close proximity, which leads to the onset of characteristic symptoms.

In some cases, it is advisable to prescribe drugs that affect the hormonal background. Hormonal drugs are:

synthetic;
homeopathic.

Hormone replacement therapy is used to treat climacteric neurosis, in particular, panic attacks. HRT includes the use of estrogen, progesterone, and androgens. In combination therapy, low-dose drugs are most effective. In the initial stages, hormonal treatment is applied in courses, while with advanced forms - continuously.

Hormone treatment can increase the risk of heart attack and stroke. In addition, the treatment has many side effects. In some cases, hormonal treatment is contraindicated:

tumors;
pathology of the kidneys and liver;
endometriosis;
hypertension;
diabetes;
thrombosis.

Hormonal drugs are used in the form of:

tablets and capsules;
suppositories;
ointments, gels and creams;
plasters.

Estrogen-progesterone medications include:

Klimonorm;
Divina;
Trisequencing.

Preparations containing estrogen:

Divigel;
Estrofem;
Sigetin;
Kliogest;
Divitren.

Medicines containing melatonin:

Melaxen;
Epithalamin;
Circadin.

Calming drugs:

Grandaxin;
Ovestin.

Hormonal treatments are often replaced by homeopathic treatments, which use phytoestrogens, which are herbal counterparts of female sex hormones. This treatment has a minimum of side effects and includes the following drugs:

Estrovel;
Feminal;
Klimadinon;
Inoklim;
Remens;
Climactoplane.

Psychotherapy

Often, with climacteric neurosis, psychotherapy rather than sedatives and antidepressants is recommended. Moreover, many experts believe that without psychotherapy sessions, taking sedatives and hormonal drugs, like other drugs, will be ineffective. This is due to the fact that at the heart of climacteric neurosis are often serious psychological problems that need to be resolved.

Psychotherapy sessions can be both individual and group. As a rule, psychotherapy is long-term, especially with panic attacks.

Antidepressant use

The use of sedatives and antidepressants is justified by the fact that in 40% of cases the symptoms of climacteric neurosis, for example, panic attacks, have a psychosomatic basis. Doctors may prescribe antidepressants as a sedative in treatment. Unlike hormonal drugs, antidepressants have few contraindications during treatment.

Sedatives, in particular, antidepressants, prevent disorders in the nervous system and prevent neuroses, stress and depression, panic attacks. Sedatives or antidepressants have both analgesic and restorative effects.

Specialists highlight the main benefits of antidepressants.

Complex impact. Antidepressants relieve unpleasant symptoms by acting on nerve receptors. Sedatives or antidepressants are used to prevent cardiovascular disease.
Normalization of thermoregulation processes. As a result, the symptoms of hot flashes and sweating can be eliminated. Antidepressants have a sedative, antispasmodic, and analgesic effect.
Various dosage forms. Antidepressants can be taken as tablets, pills, drops, syrups, and tinctures.

Like all medicines, antidepressants have several disadvantages. Sedatives or antidepressants can be addictive, and symptoms may increase in intensity after you stop taking the medication. Treatment with antidepressants and sedatives is sometimes accompanied by drowsiness.

Natural antidepressants are represented by the following sedatives.

Valerian. The sedative is effective in the early stages. Valerian stabilizes blood pressure, eliminates anxiety, insomnia, and reduces pain.
Motherwort. The sedative drug normalizes sleep, eliminates convulsions, irritability and hyperexcitability.
Oregano. Natural antidepressant relieves hot flashes and cope with various nervous disorders. It is more often used in the form of an herbal collection.

Sedatives are often used in the form of herbal teas and teas.

Medication sedatives are represented by the following drugs.

Grandaxin. The sedative has a minimum of contraindications and side effects. Grandaxin eliminates asthenic disorders.
Novo-Passit. It is a tranquilizer that comes in pill and potion form. Due to the estrogen-like action, the sedative drug stabilizes sleep, pressure and thermoregulation processes. In addition, the remedy eliminates pain, anxiety and irritability.
Persen. It is a natural antidepressant that includes valerian, motherwort, and mint. Has a sedative effect, eliminates the symptoms of hot flashes, sleep disturbances, neuroses.

Homeopathic sedatives:

Remens;
Inoklim;
Klimaton.

Selective serotonin reuptake inhibitors are the most popular antidepressants, which are often prescribed for menopause, in particular, climacteric neurosis, panic attacks. One of these antidepressants is Coaxil. The antidepressant has an analgesic effect and eliminates disorders of the nervous system. Antidepressants and other anti-anxiety medications should be prescribed after examination.

Anticonvulsants

Drugs in this drug group relax muscles and improve blood flow. Anticonvulsants reduce the frequency of hot flashes, which are accompanied by skin redness and fever. During treatment, the following side effects may occur: dizziness, insomnia, allergies.

Antihypertensives and antispasmodics

The climax causes an increase in the load on the vessels due to the loss of the elasticity of their walls. As a result, pressure often rises. There may be jumps in blood pressure. Elimination of hypertension improves thermoregulation, eliminates fever, sweating, headache. Antispasmodics weaken vascular spasm, reduce blood pressure, and improve heart function.

With persistent hypertension requires constant treatment with antihypertensive drugs.

Treatment with sedatives and antidepressants should be prescribed by a doctor. Self-treatment with sedatives is unacceptable. Antidepressants, like many sedatives, are available from pharmacies exclusively on prescription. Taking antidepressants is long-term and is at least six months.

A neurosis that has arisen against the background of menopause can permanently change self-awareness, the ability to communicate, and even character. The woman herself may think that a melancholy mood and a feeling of uselessness are a consequence of age-related changes, while their cause is the fear of growing old. Therefore, neurosis with menopause must be diagnosed and treated.

What is climacteric neurosis? In fact, this is the same conflict between the desired and the real, which is the cause of all types of neuroses. Only in this case, it is aimed at a woman's self-awareness as a representative of her gender.

During menopause, one has to admit that old age does not happen to someone else, but is not far off, and will soon knock on the door. Some roles that a woman is used to playing become difficult - a conqueror of hearts, a mistress for her beloved husband. A conflict arises between the desire to stop time and the manifestations of the approaching menopause hidden from itself. It is capable of causing numerous mental and vegetative symptoms.

In addition, during menopause, a woman experiences hormonal surges, and against the background of mood instability, irritability and tearfulness, it is much more difficult to accept the new realities of life and an unusually working body, which suddenly began to "fail" at the most crucial moments.

Women are ashamed of hot flashes and sweating, angry with themselves for irritability, but any doctor will say: everything that happens to you is absolutely normal and natural, as all changes in the female body are natural - in adolescence, during pregnancy and breastfeeding, during premenstrual syndrome and menstruation.

Classic signs of menopause

In most women, the symptoms of menopause include:

rapid fatigue;
sweating;
hot flashes with redness of the skin;
heavy falling asleep;
sudden awakening and inability to fall asleep again;
irritability, tearfulness;
suspiciousness;
pressure surges;
tachycardia;
heart pain without organic causes;
quick mood swings;
noise in ears;
constipation, flatulence;
itching in the genitals;
pain when urinating;
"Flies" in the eyes;
dizziness.

All of them are associated with changes in hormonal levels, surges in estrogen and progesterone, and adjustment of the body to a new "hormonal reality". In the future, when the climacteric period passes and menopause occurs, the listed symptoms will disappear. And their place will be taken by gradually developing changes in posture and skin elasticity, gray hair and wrinkles, weight gain. Sometimes increased fragility of bones, mastopathy develops; also menopause can be the impetus for the onset of diseases of the cardiovascular system.

The listed signs of aging develop in different women at different rates and volumes. Much depends on heredity, amount of movement, quality of food, presence of bad habits and, most importantly, on the way of thinking. It is known that cheerful and kind people age more slowly, and even in old age they remain mobile and full of strength.

Symptoms of climacteric neurosis

According to various sources, about 40-60% of women aged 45 to 55 are overtaken by climacteric neurosis. Treatment in this case is mainly psychotherapeutic. Since, if a woman is experiencing menopause, as the end of her attractiveness and the loss of the meaning of life, neurotic symptoms can be added to the usual symptoms:

Excessive enthusiasm for appearance or accentuated indifference to their appearance.
Depression, apathy, unwillingness to do anything, self-doubt.
Feeling of uselessness, unsuitability as a woman.
Decreased self-esteem.
Unwillingness to communicate, up to social phobia.
Increased anxiety, fears for yourself and your family.
Fear of loneliness.
Obsessive thoughts and states.
Suicidal thoughts.

In general, the manifestations of climacteric neurosis can be divided into several groups:

vegetative (decreased attention and memory, performance, high fatigue, insomnia);
depressive (the predominance of despondency and anxiety, sad thoughts about old age, the fading of beauty, the finiteness of life);
hypochondriacal (search for diseases in oneself, confidence in their presence; patients read about the symptoms of diseases and try them on themselves, demanding attention from relatives);
hysterical (theatrical, "for show", behavior, frequent complaints and whims, excessive touchiness).

Some women try to compensate for their “unattractiveness” with excessive activity, try to be useful to family members, to perform more functions than they are used to. Such a race leads to increased tension and intensifies the manifestations of neurosis.

Treatment of neurosis with menopause

Treatment of neurosis is general strengthening and symptomatic.

It is important to establish a comfortable sleep and rest regimen, take care of yourself, do not overexert yourself, even doing your favorite things. Serotonin is produced during sleep, so it is very important to get enough sleep if you are experiencing depression symptoms.
It is necessary to properly nourish the body - to include fresh vegetables and fruits, dairy products, fatty fish, nuts in the menu. It is better to minimize the amount of simple carbohydrates, and replace sweets with dried fruits, honey, kozinaki, muesli. It is not recommended to completely abandon the sweet taste. Stimulating drinks (tea, coffee, cocoa) and foods (red and black pepper, ginger) doctors advise to limit, as they increase anxiety and mood swings.
It is very useful to regularly walk in the park, on the shore of a reservoir, in the forest or in the mountains. Views of nature, staying in beautiful places is a powerful therapeutic tool for all types of neuroses.
The most important thing during menopause is to accept the changes that are taking place, love your age and get rid of the fears associated with the aging process. A competent psychotherapist will help to do this. But this does not mean that the work will be as simple as talking with a good friend. You need to tune in to honesty with yourself, approach your condition objectively and not run away from problems.
Physiotherapy, exercise therapy, herbal medicine, hydrotherapy and massage are auxiliary agents in the treatment of such a mental disorder as climacteric neurosis. And only in especially severe cases, antidepressants, tranquilizers, antipsychotics or sex hormones are temporarily prescribed.

Video

In the video below, the gynecologist explains what a woman should actually expect as she approaches the age of 45-48. The doctor claims that life does not end with the onset of menopause: it is in many ways similar to puberty, postpartum and the usual PMS.

So, what should a woman do who has experienced neurotic symptoms against the background of menopause? First of all, pay attention to the body and get enough sleep, eat well, take a course of massage. And after that, be sure to work with a psychotherapist, because anxiety and depression always serve as an outlet for repressed emotions. We wish you a harmonious life!

Climacteric neurosis is a complex of mental disorders that affects more than half of women after 45 years. Hormonal changes during menopause, according to recent studies, create favorable conditions for the development of this disease. The main reason is considered to be changes in the function of the hypothalamic centers. In addition, immunity, weakened by lifestyle and stressful situations, is very likely to make itself felt by vegetative abnormalities during menopause.

The main symptoms of climacteric neurosis are associated with age-related changes and changes in the functions of the hypothalamus.

Symptoms associated with age adjustment

Attention deficit disorder - there is a feeling of uselessness, unsuitability. Usually, by this age, children grow up, start their own relationships, their life is in full swing, and this further exacerbates the syndrome. External changes lead to a number of complexes, due to which husbands are suspected of names. In order to attract attention to herself, a woman begins to invent diseases for herself, behave theatrically and pay too much attention to her appearance.
Frequently changing mood, hysteria, tearfulness, a tendency to exaggerate the scale of the problem.
: anxiety, despondency, apathy, indifference to their appearance and to everything that happens. This is due to the fact that a woman is forced to admit her wilting and aging.

Associated with changes in the functions of the hypothalamus

Increased fatigue and poor performance.
Violation of the rhythm of sleep and wakefulness, which often only medications help to cope.
Significant memory impairment.
Loss of ability to concentrate.
Tremors and tremors all over the body.
Headache.
Increased sweating and hot flashes that last 20 seconds to several minutes.
Dyspnea.
Tachycardia.
Malfunctions of the digestive system: constipation, increased gas production in the intestines.
Heartache.
Increased pressure.

A characteristic feature of the signs of neurosis in menopause is considered to be their gradualness: they begin to appear long before menopause, literally every woman over the age of 45 begins to notice their manifestations in one way or another. The more they are started, the more difficult the treatment process is.

Menopause is a natural process

Absolutely all representatives of the fairer sex face menopause. This is an inevitable physiological aging process, accompanied by hormonal changes. During this period, the production of progesterone by the ovaries gradually decreases, which affects the work of literally all body systems:

metabolism slows down;
blood pressure becomes unstable;
the quality and quantity of discharge changes;
the menstrual cycle increases because the egg does not have time to mature;
emotions get out of control;
chronic diseases are exacerbated.

Why emotions have become uncontrollable

As in all periods accompanied by changes in the hormonal system (puberty, pregnancy, lactation), psychological problems arise during menopause. Sometimes they pass along with the adaptation of the body to all changes, and sometimes they worsen, transforming into climacteric neurosis. This happens when a woman is not supported by loved ones, interpreting her unstable emotional state as whims and bad character.

In addition to hormones and misunderstanding of others, it is difficult to manage emotions for the following reasons:

Children, to whom the woman has devoted her whole life, become more independent, leave the parental home. A woman's appearance does not change for the better. Anxiety and longing for children, fear of losing a husband are transformed into fear of loneliness.
The results of life are disappointing - the woman understands that the best years have passed, but what she was striving for did not happen: career success, material wealth, creative realization, decent leisure - all this did not exist and is not in her life.
Due to age and changes in the functions of the hypothalamus, physical and psychological endurance decreases, this translates into chronic fatigue, and against its background, nervous disorders develop more intensively.

Treatment of climacteric neurosis

A woman can recognize climacteric neurosis on her own, but only a specialist can accurately diagnose it and prescribe treatment. Typically, therapy is aimed at achieving 2 goals:

General strengthening of the body.
Elimination of the causes and elimination of symptoms of nervous disorders.

To achieve them it is necessary:

Establish sleep patterns. This is the main condition for the successful treatment of neurosis in menopause. Most often, in order for sleep to become healthy, sleeping pills are required to be sedated. The most popular sedative drug is Reserpine, its doses and application characteristics are determined solely by the doctor.
During menopause, hormonal drugs are considered effective remedies for neurosis, which help restore hormonal levels, and thanks to this, the psycho-emotional state is also improving.
Observe healthy, supplement nutrition with the use of vitamins for the age group 45+.
Introduce moderate physical activity into the usual way of life: yoga, breathing exercises, meditation, long walks in the fresh air.
Visiting sanatoriums and resort areas, and as often as possible. The procedures offered in rehabilitation health institutions - massage, phyto-, aromatherapy and others - have a beneficial effect on physical and mental health.
Finding an outlet is a hobby that will distract you from problems and take up your free time.
Working with a talented psychotherapist who will help you accept everything that happens and love the new period of life. Communication with a psychologist.

To achieve the maximum effect from the treatment of neurosis with menopause, it is necessary to use the woman's environment. A psychologist or psychotherapist works with relatives, gives instructions and recommendations on how to behave with a woman, how to properly support her. The fairer sex has a pronounced need to speak out and discuss problems. Conversations with loved ones can give more results than drugs.