Hot flushes and night sweats are commonly associated with the menopause – but the vast majority of menopausal women also suffer from mood and emotional problems, such as stress and anxiety. Research recently carried out by GP and menopause specialist Dr Louise Newson, founder of Balance Menopause, found 95% of nearly 6,000 perimenopausal and menopausal women had experienced a negative change in their mood and emotions during the menopause, with stress and anxiety being the most common psychological symptoms. Speaking to mark Mental Health Awareness Week (May 15-21), Newson says: “Because we often frame the menopause in terms of physical symptoms, such as hot flushes and night sweats, psychological symptoms, such as anxiety and depression, can go under the radar. “Every year I see hundreds of women struggling with menopause, and thousands more reach out on social media, looking for advice on symptoms that can impact relationships, social lives, confidence and careers.” Here, Newson, and other menopause and anxiety experts, discuss the link between the menopause and anxiety, and how to deal with it… What causes anxiety during the menopause? Low mood and anxiety can be common features of the perimenopause and menopause due to fluctuating and falling hormones, says Newson. “When oestrogen falls, levels of the mood-boosting hormone serotonin fall, too, while cortisol (the primary stress hormone) rises,” she explains. “In addition, the knock-on effects of physical symptoms, such as fatigue, hot flushes and aches and pains, can affect mood and self-esteem.” How common is menopausal anxiety? Newson’s research shows most women (95%) have some sort of mood dip during the menopausal period. Indeed, Dave Smithson, operations director at Anxiety UK, suggests anxiety is one of the key symptoms, if not the main symptom, affecting women during the perimenopause and menopause. “Often anxiety fails to receive the attention it warrants as a symptom of the menopause among the medical profession and indeed the public, which is concerning given the profound impact it can have,” he stresses. Who is likely to suffer from anxiety during the menopause?Sexual and reproductive health consultant Dr Paula Briggs, chair of the British Menopause Society, says the menopausal period has been described as a ‘window of vulnerability’, explaining: “Some women experience anxiety and low mood or depression in addition to other better-recognised menopausal symptoms. Sometimes these symptoms occur in isolation and the link with menopause may be less clear. “Mood-related changes are more likely in women who’ve had previous mental health problems, and in women experiencing surgical menopause [removal of the ovaries and or womb].” Can you get menopausal anxiety when you’ve never been anxious before? Anxiety caused by the menopause can strike women who’ve never had an anxiety problem before, Smithson points out. “Many women report new-onset anxiety, having never previously experienced anxiety at a level that it could be termed an anxiety disorder,” he says. “Others report a worsening of their pre-existing anxiety condition, as a result of the menopause.” “For women who’ve lived with anxiety for many years, when the menopause hits, they may report finding their anxiety has taken on a whole new identity, becoming more severe, intense, frequent or disabling, and consequently very challenging to manage.” What are menopausal anxiety symptoms? Although there are different types of anxiety, the symptoms tend to be the same irrespective of the underlying cause, explains Briggs. She says they can include feeling tense and nervous, being unable to relax, having difficulty concentrating, feelings of panic and dread, being unable to cope with normal daily activities, being overwhelmed, self-consciousness, and feelings of weakness and fatigue. Physical signs of anxiety include sweating, trembling, rapid heart rate and hyperventilation. “Where there’s no history of mental health problems and the symptoms and signs coincide with the menopause, they are more likely to be related to hormonal variability,” she says. “If there’s a background of anxiety and depression, then the symptoms and signs might be exacerbated by the menopause.” How is menopausal anxiety treated? Smithson says there’s still a taboo around the subject of anxiety, although he admits “great strides” towards breaking it have been made recently. “That said, access to support and treatment remain patchy, with many women left to cope alone and battle on through what can be one of the trickiest phases of their life. “Anxiety is both treatable and manageable and we would urge any women experiencing new-onset anxiety or worsening of pre-existing anxiety to seek support.” Briggs and Newson say HRT, if appropriate, is often the first treatment for menopausal anxiety, although Newson stresses: “HRT is the first-line treatment for all menopause symptoms, including mood-related symptoms. But the first piece of advice I give to any woman struggling with her mental health is to see a healthcare professional to discuss treatment options.” She suggests recording symptoms on the free balance menopause support app symptom tracker. Briggs says if necessary, antidepressant medication can improve outcomes, and talking therapies, such as CBT (cognitive behavioural therapy), are also important to help manage anxiety and depression, irrespective of the underlying trigger. “Some women, particularly those who respond partially to HRT, may need to consider adding an antidepressant, specifically one recognised to help with anxiety,” she says. However, Newson warns: “Often women are incorrectly prescribed antidepressants for menopause-related low mood and anxiety, but these mood changes are very different to clinical depression.” Can lifestyle changes help? The experts stress healthy lifestyles can really help improve anxiety symptoms, and Newson advises: “Beyond HRT, it’s so important to optimise your exercise and nutrition. A balanced diet with lots of fresh fruit and vegetables can help regulate your mood, and watch your alcohol and caffeine intake, as both can increase anxiety. “Regular exercise will lift your mood, and help you sleep, as anxiety can be a real barrier to a good night’s sleep.” She says studies suggest mindfulness can help with symptoms of anxiety and depression in menopausal women, and stresses: “Find time to focus on yourself and find some coping mechanisms you can turn to when you need them. If talking to a good friend helps with anxiety, give them a call. I find writing lots of lists helps me feel in control and calmer.” And Briggs adds: “Many women have unrealistic expectations about HRT, and it’s important to stress that lifestyle management is also an important aspect of managing the menopause, along with considering things such as cognitive behavioural therapy, hypnotherapy and mindfulness.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How to encourage green-fingered kids Cost of sunscreen could be increasing risk of skin cancer, charity suggests Ukraine Eurovision winners Kalush Orchestra invite Princess Kate to join them on tour

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The cost of sunscreen could be contributing to the rise in skin cancer cases in the UK, a charity suggests. A survey from Melanoma Focus found that 50% of people think sunblock is too expensive, with 67% saying they would use it more if it was cheaper and 10% saying they don’t use it at all because of the cost. The survey also found that most British people (58%) can’t identify all the signs of melanoma skin cancer. Melanoma Focus is calling for the government to cut VAT on high-factor sunscreens to reduce the cost and make them more accessible to everyone. Melanoma is a deadly form of skin cancer and the vast majority of cases (86%) are preventable. There are around 16,700 new melanoma skin cancer cases in the UK every year, according to Cancer Research UK. Over the last decade, incidence rates have increased by 32%, and are projected to rise by another 9% by 2040. Around 4,000 cases of melanoma in England are linked with lower deprivation. “Melanoma is the fifth most common cancer in the UK and the deadliest form of skin cancer,” said Susanna Daniels, CEO of Melanoma Focus. “Wearing a high SPF sunscreen is a hugely important safety measure for protecting against it. “We know that people are experiencing increasing pressures on their finances at the moment but, with skin cancer rates on the rise, the use of sunscreen should be a high priority.” Removing VAT on sun protection products would be “a cost-effective way to cut the overall incidence of skin cancer and could help save lives”, she added. Michelle Richardson, 49, from Petersfield, Hampshire, was diagnosed with melanoma in 2018 after noticing an itchy mole on her back. She had an operation to remove the mole, but 18 months later a scan found the melanoma had spread throughout her body including in her spine, lungs, spleen and brain. “I had immunotherapy treatment for two years and I’m currently in remission and hope it stays that way for as long as possible,” Richardson says. “Sunscreen shouldn’t be a luxury product. It’s essential for protecting the health of the nation so I’m fully supportive of the proposed cut to VAT. “Treatment for melanoma costs the NHS a fortune, so a VAT cut to the thing that can prevent it happening in the first place makes sense financially as well as morally.” MP Amy Callaghan, who is supporting the campaign, said: “More people wearing sunscreen means fewer people getting melanoma. “But when 52% of people in my constituency can’t afford to turn on the heating, it’s unlikely they’ll take on extra expenses like sunscreen. “That’s why we must make sunscreen more affordable by removing VAT.” Melanoma Focus also wants to raise awareness about the early signs of skin cancer. “We’d also urge people to make themselves aware of melanoma symptoms and seek medical help if they notice anything suspicious, particularly any changes to a mole or lesion,” Daniels said. “Early detection leads to a higher cure rate and more treatment options.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Ukraine Eurovision winners Kalush Orchestra invite Princess Kate to join them on tour ‘Simply no evidence’ for many Mirror phone hacking claims, Prince Harry trial told As Coronation Street puts the spotlight on sepsis, the signs and symptoms to know

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The more you talk to a toddler, the more it helps their brains to develop in early childhood, a study has found. Researchers discovered that two-and-a-half-year-olds who heard more speech in everyday life had more myelin in language-related areas of their brains. Myelin is a material produced by the body that forms around nerves, including those in the brain, that allows electrical impulses to transmit quickly and efficiently. Scientists from the University of East Anglia said their findings demonstrate how speaking to toddlers can shape their developing brains. The study, published in the Journal of Neuroscience, involved 163 babies and toddlers being given small recording devices to wear for three days. Researchers analysed just over 6,000 hours of language data in total, including words spoken by the children and speech from adults. When the children were asleep, they were carefully placed in an MRI scanner to measure myelin in their brains. The researchers found that toddlers who heard more speech everyday had more myelin, which they said is “likely to support more sophisticated language processing”. Lead researcher Prof John Spencer, from UEA’s School of Psychology, said: “We know that children’s brains develop very rapidly in the first two years of life, with brain volume at about 80 per cent that of an adult brain by the age of two. “Myelin is made up of protein and fatty substances and forms an insulating layer around nerves in the brain.” He added: “Imagine you have a hosepipe with lots of holes in it. “Myelin is like wrapping the hosepipe with duct tape – it insulates neural fibres, bringing more of the ‘signal’ from one brain area to the next.” The researchers said their study is one of the first to show that listening to speech is associated with brain structure early in development. Prof Spencer said: “Prior work showed a similar association in four to six-year-olds, but our findings push this association much earlier in development. Indeed, we even found associations between language input and brain structure in six-month-old infants.” He added: “Although there is still much more to learn about these processes, the message to caregivers is clear – talk to your baby, your toddler, your child. “Not only are they listening, but your language input is literally shaping their brains.” Additional reporting by PA Read More Rihanna and A$AP Rocky celebrate son’s first birthday ‘I don’t get angry’: Pierce Brosnan says meditation is key to managing anger TikTok Tattoogate: How a tattoo artist sparked backlash for ‘absurd’ pricing and design changes Dean Gaffney says I’m A Celebrity ‘saved his life’ after bowel cancer scare Talented boxer reveals first sign of brain tumour after collapsing at service station GB News in ‘significant breach’ of Ofcom rules over Covid vaccine claims

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Nasa has built an artificial intelligence model to predict where on Earth an impending solar storm would strike, a new system that scientists said can provide “30 minutes of advance warning”. The AI model analyses Nasa satellite data to raise the alarm on dangerous space weather, said researchers from the American space agency’s Goddard Space Center. The warning may provide just enough time for countries to prevent severe impacts of these storms on power grids and other critical infrastructure, according to the new study published recently in the journal Space Weather. Solar storms are caused when the Sun emits a burst of electrically charged plasma in what is called a coronal mass ejection. These charged particles create so-called geomagnetic storms that may cause blackouts and technological malfunctions of instruments on Earth as they interfere with the protective magnetic field around the planet. While these storms range from mild to extreme, their effects could become increasingly disruptive in a technologically dependent world. For instance, a solar storm in 1989 caused blackouts across Quebec, Canada for 12 hours, plunging millions into the dark and closing schools and businesses. Another popular solar superstorm event known as the Carrington Event sparked fires at early telegraph stations in 1859 that prevented messages from being sent. Scientists warned that the risk of such a devastating solar storm is increasing as we approach the next “solar maximum” – a peak in the Sun’s 11-year activity cycle. To prevent such a devastation, Nasa scientists developed the new AI model to identify links between solar wind measurements from previous Sun missions and geomagnetic disturbances observed at ground stations across Earth. The computer model they developed, called DAGGER, can quickly and accurately predict geomagnetic disturbances worldwide, “30 minutes before they occur,” researchers said. When they tested the model against two geomagnetic storms that happened in August 2011 and March 2015, it was able to “quickly and accurately” forecast the storm’s impacts around the world. The new prediction system is the first to combine swift analysis of AI, with real measurements from space and across Earth to generate frequently updated predictions. Scientists believe the early warning provided by the system can help take action to protect infrastructure from an impending solar storm, such as temporarily taking sensitive systems offline or moving satellites to different orbits. Read More Stunning aurora lights up skies over Australia: ‘Brightest one I’ve ever seen’ How a severe solar storm could leave a lasting impact on our world The world is not yet ready to overcome a once-in-a-century solar superstorm, warn scientists Astronomers find ‘objects that no one has ever seen before’ Saturn’s rings are no more than 400 million years old – study Strange sounds recorded by balloons in stratosphere leave scientists puzzled

As the entire world celebrates Mother's Day, Hollywood celebrities took the opportunity to remember the ‘mothers’ of their lives