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Why Does Everything Feel Harder in Perimenopause?

You used to manage a full schedule, remember the details, and still have patience left at the end of the day. Lately, a small interruption can feel enormous, you forget what you just said, and you often struggle to manage your emotions. You find yourself saying, “I don’t feel like myself anymore” a lot.

There has been a lot of talk on social media about perimenopause these days. But what is perimenopause, and how do you know if the changes you’re experiencing could be perimenopause symptoms? Figuring out what you need to cope with these seemingly sudden changes is more complex than watching a few reels selling you supplements. Knowledge is power. Read on to better understand this stage of life and learn tips to empower yourself to start to feel better.

Common Perimenopause Symptoms That Can Affect How You Feel

Perimenopause is the transition leading up to menopause, and it is more than irregular periods, hot flashes and night sweats. Alongside these physical symptoms, many women experience changes in sleep, mood and concentration that can affect emotional regulation, distress tolerance and relationships. Both the physical and emotional health symptoms can make ordinary demands feel less manageable. Add work, sandwich generation caregiving, relationships, and the pressure to keep functioning as usual, and it makes sense that you don’t feel at all like yourself.

This doesn’t mean every difficult feeling is caused by hormones. It means your experience deserves curiosity instead of criticism.

How to Manage Emotional Changes During Perimenopause

Start by noticing patterns. Are you waking during the night? Do certain times of the month feel harder? When do you feel most overwhelmed? Jotting down a few observations can help you describe what’s happening to a health care provider and identify where you need more support.

Then ask what could ease the load today. That might mean protecting time for sleep, taking a short break before responding to someone, or telling your family that you have less capacity than usual. Small adjustments are worthwhile even if they don’t solve everything.

Therapy can also provide space to work through perimenopause and anxiety, irritability, changing roles, or the unsettling feeling that you no longer recognize yourself. Together, you can find ways to respond to stress, set boundaries and communicate your needs without judging yourself for having them.

When to Reach Out for Support

If symptoms are persistent, new, or disrupting your life, speak with a health care provider. You don’t have to decide on your own whether they’re related to perimenopause or something else.

You are allowed to take what you’re experiencing seriously. Support can begin before you reach a breaking point.

Want to better understand what feels harder right now?

Download our Perimenopause Reflection Tool, a simple check-in to help you notice changes, consider what else may be adding to the load, and identify one supportive next step.

The tool can help you reflect on changes in sleep, mood, focus, anxiety, energy and everyday capacity, while also considering work, caregiving, relationships, health and other pressures. You can also use it to identify what you may want to discuss with a health care provider or therapist.

Picture of Alison Maslin-Maratos

Alison Maslin-Maratos

Alison is a Registered Social Worker with more than 25 years’ experience in her field. She founded Maratos Counselling & Consulting in 2015 and now provides Clinical Supervision and Coaching for other therapists along with counselling services. She specializes in therapy for perimenopause and menopause.
Picture of Alison Maslin-Maratos

Alison Maslin-Maratos

Alison is a Registered Social Worker with more than 25 years’ experience in her field. She founded Maratos Counselling & Consulting in 2015 and now provides Clinical Supervision and Coaching for other therapists along with counselling services. She specializes in therapy for perimenopause and menopause.