CBT (Cognitive Behavioral Therapy) for Menopause - A DIY Technique to Help
- Dena Bradford
- Jul 9
- 4 min read

CBT for Menopause
Menopause and perimenopause can feel like navigating uncharted waters, bringing with them a mix of emotions, changes, and challenges. If you’re feeling overwhelmed, frustrated, or not quite yourself, please know you’re not alone. This is a time of significant transformation, and it’s completely natural to experience ups and downs. That said, there are tools available to help you navigate these changes with greater ease and confidence.
This CBT for menopause protocol is designed with you in mind. It’s warm, practical, and approachable—a guide to help you understand your emotions, address those tricky negative thoughts, and regain a sense of balance. With a little practice, you can feel more grounded and empowered during this stage of life. Let’s take this journey one step at a time, together.
Identifying Negative Thoughts
During perimenopause and menopause, it’s common for negative thoughts to creep in. Hormonal shifts, physical changes, and life transitions can stir up self-doubt, irritability, or even feelings of hopelessness. But recognizing these thoughts is the first step toward taking back control.
Here’s how to start:
Pause and Pay Attention: Take a moment to check in with yourself throughout the day. When you notice a shift in your mood—maybe you’re feeling anxious, sad, or frustrated—ask yourself, What thoughts are running through my mind right now?
Write It Down: Keep a journal or use the notes app on your phone to jot down the thoughts you’ve noticed. Be as honest as possible without judging yourself. For example, you might write, I feel like I can’t handle this or I’m not good enough anymore.
Look for Patterns: Over time, you may see recurring themes in your thoughts. Perhaps they center around fears of aging, feeling less capable, or frustration with your body. Identifying these patterns will make it easier to address them.
Remember, negative thoughts are not facts—they’re simply the brain’s way of reacting to stress or change. Acknowledging them is the first step toward managing them.
Challenging Negative Thoughts
Once you’ve identified your negative thoughts, it’s time to challenge them. This doesn’t mean forcing yourself to think positively all the time, but rather questioning whether these thoughts are accurate or helpful.
Here’s how to gently challenge those thoughts:
Ask Yourself Some Questions:
Is this thought based on facts, or is it just an assumption?
What would I say to a friend who had this thought about herself?
Is there another way to look at this situation?
Am I focusing on the worst-case scenario instead of considering other possibilities?
Replace Negative Thoughts with Balanced Ones: If you catch yourself thinking, I’m not good enough, try replacing it with something more realistic, like, I’m going through a tough time, but I’m doing my best, and that’s enough.
Be Kind to Yourself: Remind yourself that it’s okay to have bad days and that negative thoughts don’t define who you are. Practice speaking to yourself with the same compassion you would offer a loved one.
Challenging your thoughts takes practice, so be patient with yourself. Over time, you’ll find it easier to reframe your thinking and approach situations with more clarity.
Managing Emotions with CBT Techniques
Emotions can feel intense during perimenopause and menopause, but CBT offers practical techniques to help you regain a sense of control. Here are some strategies to help manage your emotions:
Deep Breathing: When emotions start to feel overwhelming, pause and focus on your breathing. Try inhaling deeply through your nose for a count of four, holding for four, and exhaling through your mouth for six. Repeat this several times to calm your nervous system.
Behavioral Activation: When you’re feeling low or unmotivated, it can help to plan small, enjoyable activities. Whether it’s a short walk, listening to music, or spending time with a friend, doing something you love can lift your mood.
Grounding Exercises: If anxiety takes over, try grounding yourself by focusing on your senses. Name five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. This helps bring your focus back to the present moment.
Practice Gratitude: At the end of each day, write down one or two things you’re grateful for. It could be as simple as enjoying a cup of tea or receiving a kind word from a friend. Focusing on the positives, even briefly, can shift your perspective.
By practicing these techniques regularly, you can build emotional resilience and feel more equipped to handle life’s challenges.
Creating a Personal Action Plan
To make the most of these tools, it’s important to create a plan that works for you. This is your roadmap to managing emotions and negative thoughts with intention and purpose.
Here’s how to build your action plan:
Set Your Goals: Start by identifying one or two areas you’d like to work on. For example, you might want to feel less irritable or improve your ability to reframe negative thoughts.
Choose Your Strategies: Pick a few CBT techniques from the sections above that resonate with you. Maybe you want to focus on deep breathing and journaling your thoughts.
Make It Specific: Break your plan into small, actionable steps. For example, I will spend five minutes every evening writing down my thoughts and identifying patterns.
Track Your Progress: Keep a simple log of how often you practice your chosen strategies and how you feel afterward. This can help you see what’s working and where you might need to adjust.
Celebrate Small Wins: Every step forward is progress. Acknowledge and celebrate the positive changes you’re making, no matter how small they may seem.
This action plan is yours to customize and revisit whenever you need. The goal is progress, not perfection.
It’s important to remind yourself that you’re doing the best you can during a challenging time. By committing to small, intentional steps, you can create meaningful changes in how you feel and think.
You are stronger than you realize, and you’ve already taken an important step by exploring these tools. Remember to treat yourself with the same kindness and care that you give to others.
Change takes time, but every effort you make brings you closer to feeling more balanced, confident, and at peace.
You’ve got this!
Big Hugs~
Dena






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