Emotional & Mental support

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Women going through the menopausal transition are at a higher risk of mood changes and symptoms of depression and anxiety.

Common physical, emotional and cognitive issues related to menopause can complicate and overlap with mental health symptoms.

Stress related to life circumstances can also complicate understanding whether changes in mood and mental health are related to menopause.

Having an open discussion about your symptoms, life circumstances and mental health history can assist your doctor in offering suitable treatment options and lifestyle changes.

Therapies proven for the broader population are also suitable for mental health symptoms related to menopause – medication, psychological therapy and lifestyle changes.


While not a problem for everyone transitioning through menopause, the risk of mood changes and symptoms of depression and anxiety are higher during perimenopause, even in women without a history of major depression.

While the risk is higher for women in the age-related and natural menopausal transition, women might also have a higher risk of mood changes after menopause caused by surgery such as hysterectomy or if the ovaries have been removed. Depression also occurs at a higher rate in women with a lack of oestrogen caused by primary ovarian insufficiency.

Mental health symptoms related to menopause

Mental health symptoms related to menopause can include feeling:

irritable, sad, anxious, hopeless

stuggling to focus, concentrate, forgetful,

tired, unmotivated

Some women might experience these symptoms in a mild form which others unfortunately may suffer more severe symptoms of depression (including thoughts of suicide) lasting for at least two weeks. This is known as a major depressive episode and is more likely in women who have a history of major depression during their pre-menopausal years.

While many women do not have mental health issues during the menopausal transition, unstable oestrogen levels can have an impact on the brain, predisposing some women to feelings of depression and anxiety.

Some of the common physical, memory and thinking symptoms related to menopause (hot flushes, night sweats, sleep and sexual disturbances, weight changes and “brain fog”) can complicate and overlap with mental health symptoms.

Another complicating factor is stress related to life circumstances. Feeling stress is common during middle age as personal and environmental changes take place. This can have a strong effect on mood in some women. Life circumstances that can impact mental health include caring for children, teen issues, carers for elderly family members, career changes, body changes, illnesses, pre-existing ADHD, relatonships, pain levels, medication.

The menopause transition is an ideal time to look at your health and consider lifestyle and other changes so that you can live the healthiest possible lifestyle.

Untangling physical and mental health symptoms related to menopause

For some women, mental health issues and other changes can begin to affect how they live their lives. Your doctor can take a holistic approach to your health to help you untangle the web of symptoms around physical and mental health changes.

Understanding mental health during perimenopausal and postmenopausal changes can include:

identifying your stage of perimenopause / menopause and any physical and cognitive symptoms

discussing your history of mental health symptoms

discussing your current mental health symptoms

understanding any lifestyle factors that could affect your mood – for example, lack of sleep and exercise understanding other stressful life circumstances contributing to your symptoms – for example, caring for children and parents, career and relationship changes, body changes and illness.

When you see your GP/specialist it is important to explain the realm of menopausal symptoms you are experiencing as well as your life circumstances and clinical history so that they can help them to recommend the best treatment options and lifestyle and behavioural changes for your situation.

Treatment options for mental health symptoms

Lifestyle changes to assist with managing mental health are similar to those recommended for menopause-related physical changes. Changes that can help with mental health symptoms include:

ensuring healthy levels of physical activity

improving sleep

considering changes to decrease stress associated with life circumstances

limit alcohol intake

Psychological therapies and social supports can be beneficial to women with mental health symptoms.

Women should have an individualised assessment with their doctor in order to discuss the most appropriate treatment pathway. Options may include lifestyle changes, psychological therapies and medications such as menopausal hormone therapy (MHT) or antidepressants.

While some international guidelines do not recommend MHT as firstline therapy, many doctors have seen a positive effect on mood with the use of MHT in the first instance.

There is evidence that oestrogen has antidepressant effects, particularly in perimenopausal women. We emphasise an individualised approach with treatment tailored to the individual patient.

Oestrogen is not recommended for women with a history of breast cancer.

At this stage, there is no evidence to recommend alternative or complementary therapies for treatment of perimenopausal depression.

Where can you find more information?

If your mental health or other symptoms are bothering you, your doctor can help. Your doctor can help you understand physical and mental health changes and offer options for managing your sympt

Help for depression and mood changes?

If you have severe mental health symptoms or symptoms of depression and have thoughts of suicide, help is available.

Lifeline – Phone 13 11 14

beyondblue – Phone 1300 22 4636

Menopause Support Centre

Your step by step guide to the PAUSE!

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Women's Wellness Blog

De Facto relationships in Australia

De Facto relationships in Australia

October 02, 20245 min read

If a de facto couple separate, there are very strict requirements to be satisfied before they can make a financial or parenting order in the Family Court after separation.”

A de facto relationship is defined in Australia as a relationship between two individuals, who may be of the same or opposite sex, who have a relationship as a couple, are not legally married or related by family, and live together on a genuine domestic basis.

De Facto Relationship

De facto relationships can be extremely varied and there is no set checklist of factors to prove that a couple is living in a de facto relationship, but the following is usually taken into consideration when assessing whether the couple is considered to be in a De facto relationship:

  •      Are the couple living together?

  •    How long have the couple been living together?

  •    Do they have a sexual relationship?

  •   Are they financially independent or do they share bank accounts, own property together, share weekly living expenses like electricity and gas and other utilities and insurance?

  •    Do their family and friends consider them a couple?

  •    Is there a mutual commitment between them?

  •    Do they have any children which they care for and support?

If a de facto couple separate, there are very strict requirements to be satisfied before they can make a financial or parenting order in the Family Court after separation. The Family Court does not apply to de facto relationships unless the court is satisfied that the following applies:

1.     The relationship broke down after 1 March 2009 or 1 July 2010 (South Australia) AND

2.      They  were in a genuine de facto relationship with each other (not legally married) and it has now broken down, AND

3.      They have a geographical connection to the participating jurisdiction, AND

4.      They must also meet one of the following criteria:

  • The period for the de facto relationship was for at least 2 years, OR

  • There is a child in the de facto relationship, OR

  • The de facto relationship is registered with the Department of Births, Deaths and Marriages under a prescribed law of a particular Australian State or Territory. De facto partners often register to show commitment to one another as well as to make it easier to prove they are in a relationship for financial matters such as tax and superannuation purposes, Centrelink and other government payments. Please note, different registration requirements may apply for each State and Territory of Australia, OR

  • If in a de facto relationship for less than 2 years, when assessing their property or custodial claims, it is recognised that a significant contribution was being made by one party and the failure to issue an order would result in a serious misjustice to the person applying for the order.

Parties who are separating from a de facto relationship can apply to the Family Court, using the same forms as a married couple, to have their financial and parenting matters determined in the same way as married couples.  De facto financial orders must be applied for within two years of the last breakdown of the relationship (ie date of separation). They must apply to the courts to get permission for an extension, if beyond two years.

Before a court can make a parenting order, the parties must show they have made a genuine attempt to resolve the disputes via family dispute resolution, which is a process in which an accredited family dispute practitioner helps people resolve disputes relating to separation or divorce.

Once family dispute resolution has been attempted, a section 601 certificate will usually be issued unless there are unique circumstances such as family violence or child abuse by a party or risk of it.

Date of Separation importance

The specific date of separation becomes important especially for property settlement as well as for child support payments and Centrelink entitlements. It is the day the two individuals stop living together as a couple. If there are disputes over the date, the parties can provide evidence such as receipts for short term leases or accommodation, separation of finances, notification of government social services of the separation, informing family and friends.

If the separated couple continue to live in the same residence for various reasons including financial, children or for convenience, the law will usually require supporting evidence (by sworn written statements referred to as affidavits) that the parties were actually separated whilst living under the same roof. If the date remains in dispute, the court will have to make their own judgment based on all the facts.

If there have been any attempts to reconcile during the separation period, then provided it is for no more than 3 months, the length of the first separation can be then added to the subsequent separation period.  However, if the reconciliation is for more than 3 months then the date of separation begins from the end of the last reconciliation.

How to protect your assets from a de facto relationship

A Binding Financial Agreement (BFA) is often the most effective way as it considers what each person brings into the relationship, their contribution during the relationship and other conditions such as children of the relationship.

De Facto separation and your Will

In many states of Australia, it should be noted that separating from your de facto partner will not change your Will and any gift in your Will to your ex-de facto partner would likely still be valid on your death, even if you have separated and divided up your assets. It is highly recommended that you get legal advice about your relevant jurisdiction’s requirements,  amending your Will and any future claims that your ex-de facto may still have on your estate, for example if they were being financially maintained by you at the time of your passing or they are the parent of your child, who is still a minor they may still be entitled to a claim even if your will is amended.


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