NICE supports CBT for menopause anxiety

File:Symptoms of menopause (raster).png

A new draft guideline from the National Institute for Health and Care Excellence (NICE) suggests that Cognitive Behavioural Therapy (CBT) should be more widely available to women who experience low mood and anxiety related to the menopause.

Here at my Bexhill practice I see many women with low mood and anxiety associated with the menopause. It is estimated that somewhere in the region of 80 per cent of women experience some symptoms during menopause and these may continue for several years. For one in ten women symptoms can last as long as twelve years.

The new guideline suggests that a combination of hormone replacement therapy and psychological therapies such as CBT can help with low mood. While the guideline does not support other non-pharmaceutical treatments, such as herbalism, there is evidence for the effectiveness of genistein and red clover. However, there are concerns about the safety of these two treatments.

CBT is also effective for menopausal anxiety related to hormonal changes. Psychological symptoms are very common and can impact on personal, social and professional lives. The use of antidepressant medication such as SSRIs/SNRIs is not recommended as a first-line treatment for low mood associated with the menopause, except where women may be experiencing clinical depression. Primarily this is because of adverse side effects and because low mood may be the result of hormonal changes.

Until next time. Steve

You may wish to know that Steve is now offering therapy sessions via Skype Please contact us through our website @ www.stevecliffordcbt.com

Visit our facebook sites:

www.facebook.com/yourmentalhealthmatters

www.facebook.com/bexhillmindfulnesscentre

www.facebook.com/mgbhillclimbchallenge

Twitter @cbt4you

Steve Clifford                                                                                                                           Senior Accredited Integrative Psychotherapist.                                                                       Accredited Cognitive Behavioural Psychotherapist.

References: Therapy Today/www.therapytoday.net/June 2015

Draft guideline:http://tinyurl.com/qxyy8xq

Imagehttps://commons.wikimedia.org/wiki/File%3ASymptoms_of_menopause_(raster).png

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Summer days, school holidays and happy children

File:Felicidade A very happy boy.jpg

Summer is the ideal time to picnic with friends and let the children run free. Happy children are a joy to behold and bringing out the best in your children needn’t be hard work.

Allow your child to express their emotions, do not laugh, ridicule or humiliate them. Even if they are expressing emotions you find difficult to handle, do not withdraw or withhold your love. Ensure your child knows what you expect from him or her. Try not to send confusing and unclear messages. Remember, children are not mind readers. If you have a partner make sure that you are both singing from the same hymn sheet. Set clear rules and boundaries. We all like to know where we stand. Do not make idle threats. If you do impose sanctions, make sure you always carry them through, that way your child will know you mean business and they will learn to trust you.

Do not compete with your child or try to get one better over them. If you have broken up with the child’s other parent, do not say unkind, hurtful or critical things about them. No matter how unkind they may be, or how much you may be hurting. Fighting and point scoring can be a major source of anxiety to a child.

Sooner or later all children will express thoughts or emotions different from your own. Encourage them to be inquisitive and to explore new things and have experiences that you may never have experienced. This is how they learn. Your self esteem should not be linked to your child’s appearance, behaviour or how well they do academically. By all means, give praise for things well done, but do not punish or withhold love and approval if they do not do well.

When your children are misbehaving, remember they are not “bad” children. It is merely their behaviour that is “bad.” All behaviour means something. Step back and see if you can spot the meaning. Finally – Remember that children and adults have different needs and expectations. Children are not “mini grown-ups.” They want different things.

Until next time. Steve

You may wish to know that Steve is now offering therapy sessions via Skype Please contact us through our website @ www.stevecliffordcbt.com

Visit our facebook sites:

www.facebook.com/yourmentalhealthmatters

www.facebook.com/bexhillmindfulnesscentre

www.facebook.com/mgbhillclimbchallenge

Twitter @cbt4you

Steve Clifford                                                                                                                           Senior Accredited Integrative Psychotherapist.                                                                       Accredited Cognitive Behavioural Psychotherapist.

Image: https://commons.wikimedia.org/wiki/File%3AFelicidade_A_very_happy_boy.jpg