βThere is no way to be whole without first embracing our brokenness. Wounds transform us, if we let them.β ~Sue Monk Kidd
Menopause flagged up everything unresolved, unmet, and unchallenged and asked me to meet it with grace.
Iβm not saying it was an overnight thingβmore like a ten-year process of discovery, rollercoaster style. One of those βstrap yourself in, no brakes, no seatbelt, possibly no survivalβ rides.
If Iβm honest, the process is still unfolding, but with lessΒ βaaaaggggghhhhhβΒ and moreΒ βoh.β
Having mentally swappedΒ Nemesis InfernoΒ forΒ Itβs a Small World, I can now look back with
β¦
“There is no way to be whole without first embracing our brokenness. Wounds transform us, if we let them.β ~Sue Monk Kidd
Menopause flagged up everything unresolved, unmet, and unchallenged and asked me to meet it with grace.
Iβm not saying it was an overnight thingβmore like a ten-year process of discovery, rollercoaster style. One of those βstrap yourself in, no brakes, no seatbelt, possibly no survivalβ rides.
If Iβm honest, the process is still unfolding, but with lessΒ βaaaaggggghhhhhβΒ and moreΒ βoh.β
Having mentally swappedΒ Nemesis InfernoΒ forΒ Itβs a Small World, I can now look back with deep compassion for that younger version of me at the start of perimenopause.Β She was the one frantically Googling her way through a vortex of symptoms, never quite able to figure out whether it was a brain tumor or an underactive thyroid gland.
It all started when I was around thirty-five (for context, Iβm now forty-nine). Iβd just moved to Brighton from Cheshire to do a degree in songwriting at BIMM and threw myself into it with all the gusto of a twenty-four-year-old; after all, I had itβ¦the gusto, that is.
That first year was wild, to say the least, but then, the ground beneath me started to fracture.
My mind would go blank on stage. The keyboard started looking like a fuzzy blob of jelly. My heart would pound through the night for no apparent reason. I gained a spare tire around my middle. Iβd walk into town and have a panic attack, clutching the wall of a bank while strangers side-eyed me with pity or concern.
My libido shot through the roof like a horny teenager. The rage was volcanic, and my poor partner couldnβt even breathe next to me without triggering a tirade (I see the dichotomy too).
It was a maelstrom of symptoms that even Dr. Google couldnβt unpack, and yeah, neither could my actual doctor, but thatβs for another time.
The real unraveling came when I went on tour with a band at age forty-two.
It was supposed to be fun-fun-fun, except it wasnβt. It was hell-hell-hell. Ten days, and I slept properly for only one of them. I came home wrecked, assuming that once I returned to my bed and the stability of my beloved, Iβd be fine.
But I wasnβt. Thatβs when insomnia truly began. Iβd βlearnedβ how not to sleep, and now my mind was sabotaging me on a loop.
In desperation, I booked in with a functional medicine practitioner who ran some lab tests. The results were βlow everything,β and that was the first time I heard the wordΒ perimenopause.
I didnβt think much of it at the timeβstandard denial. But the word lodged itself somewhere.
Around the same time, I was running a speaker event in Brighton and immersing myself in therapeutic modalities as part of my own healing.
Music, my first (well, actually second) career, had started to feel more frightening than exhilarating. In my search for calm, I stumbled upon a modality called RTT, a kind of deep subconscious reset done under hypnosis, which changed everything for me and launched me into a new career pathway.
As I continued learning and applying what I was discovering, a huge lightbulb moment landed:
βHang onβ¦ A lot of the stories Iβm hearing from women in midlife involve more than just symptoms; they involve deep, relational wounds.Β I wonder if thereβs a link between menopause symptom severity and childhood experiences?β
So, I turned to Google Scholar to see if anyone else had spotted this link, and sure enough, there it was.
I came across a 2021 study inΒ MaturitasΒ that found women with higher ACE (Adverse Childhood Experiences) scores were up toΒ 9.6 times more likelyΒ to experience severe menopausal symptoms, even when things like anxiety, depression, and HRT were factored in. That blew my mind.
Another 2023 study from Emory University showed thatΒ perimenopausal women with trauma historiesΒ demonstrated significantly higher levels of PTSD and depression than those in other hormonal phases. That explained so much of what I was feeling too.Β
And then I found a 2017 paper in theΒ Journal of Clinical PsychiatryΒ showing that women who experiencedΒ two or more ACEs were over 2.5 times more likelyΒ to have their first major depressive episode during menopause, even if they had no prior history of depression.Β
Finally, a recent 2024 review framed early trauma as aΒ key driver of hormonal sensitivity, especially during life transitions like perimenopause. It helped me see that my struggles werenβt random or my fault; there was something a lot deeper at play.
But I was still confused. What was the biological mechanism behind all of this?
Dun dun dahβ¦Β I found a peer-reviewed paper inΒ Frontiers in MedicineΒ that helped me connect the dots. Take a breath.
In trauma-exposed women, our GABA receptors become altered. These receptors, which help calm the nervous system, rely on a metabolite of progesterone called allopregnanolone. But trauma can disrupt both our ability toΒ break downΒ progesterone into allopregnanoloneΒ andΒ our ability toΒ receiveΒ its effects at the cellular level (because the GABA receptors become dysfunctional).
So basically, that means even if we have enough progesterone, we might not be able to use it properly. The ensuing result is that we become more sensitive to hormonal fluctuations, and we canβt receive the soothing effects weΒ shouldΒ be getting from progesterone.
As I began to piece all this together, I was forced to confront something in my own history.
Because frankly, I thought I had a happy childhood.
That is, until I came across a concept that stopped me in my tracks. It felt so close to home, I literally clapped the book shut.
Itβs calledΒ enmeshment trauma.
Itβs a type of relational trauma that often leads to symptoms of CPTSD (which, just to remind you, tends to flare up during menopause). But the thing is, enmeshment hides in plain sight often under the guise of βcloseness.β We prided ourselves on being a close familyβ¦ too close, in fact.
I was an only child with nothing to buffer me from the scrutiny of my parents and the emotional load they placed on me. Theyβd confide in me about each other as if I were their best friend or therapist. I didnβt know it then, but their lack of emotional maturity meant they were leaning on me for unconditional emotional support. I was a good listener and a very tuned-in child.
I became parentified. Praised and validated for my precociousness, while being robbed of the ability to safely individuate. I was βallowedβ to find myself, but the price I paid was emotional withdrawal from my father, equally painful as weβd been so close.
It was confusing and overwhelming, and I had no one to help me metabolize those feelings. It wired me for hyper-responsibility, anxiety, and guilt. Not exactly the best recipe for a smooth menopause transition, which requires slowness, ease, and softness.
As a textbook βdaddyβs girl,β I unconsciously sought out older men, bosses, teachers, even married guys. Their energy felt familiar. Meanwhile, emotionally available prospects seemed boring, even if they were safer. That attachment chaos added more voltage to the CPTSD pot I had no idea was simmering under the surface of my somewhat narcissistic facade.
The final ingredient in this complex trauma marinade was a stunted ability to individuate financially. I was still clinging to my parents’ purse strings at age forty-four. The shame, frustration, and despair all came to a head when I dove into the biggest self-sabotaging episode of my life:
I decided to leave my long-term relationship.
He was my rock and my stability. But βdaddyβs girlβ wanted one last encore. And when he refused to take me back, despite my pleading, it was a mess. But, in a twist of grace, my father had taught me grit. How to get out of a hole. And thatβs exactly what I did.
I learned to stand on my own two feet financially. I learned the power of committing to one person and treating them with respect. I learned to set boundaries and become deliciously self-preserving with my energy, because thatβs what the menopause transition demanded of me.
And if it werenβt for those wild hormonal shifts, Iβm not sure Iβd have learned any of this.
Through my experience, Iβve come to see that menopause isnβt just a hormonal event. Itβs a complete life transition, both inner and outer. A transition deeply influenced by the state of our nervous system and our capacity for resilience and emotional flexibility.
For those of us with trauma, this resilience and flexibility is often impaired. Hormone therapy can help, yes, but for sensitive systems, itβs only part of the puzzle. And sometimes, it can even make things worse, especially if not dosed correctly.
As sensitive, trauma-aware women navigating these hormonal shifts, thereβs so much we can do to support ourselves outside of the medical model.
Slowing it all down is one of the most powerful ways we can create space for the βbusy workβ our bodies are diligently undertaking during this transition. Gentle, nourishing movement. Yoga Nidra. Early nights. Simple, healthy meals. Earthing and grounding in nature. Magnesium baths. Dry body brushing. Castor oil packs. Vaginal steaming. Think: self-care on steroids.
But perhaps the most radical thing I ever did was to carve out more space in my diary just to S.L.O.W.Β D.O.W.N.
Now, eighteen months post-menopause, I find myself reflecting.
What did she teach me?
She flagged up everything unresolved, unmet, and unchallenged.
She showed me where I was still saying yes to others and no to myself.
She taught me that I need more space than society finds comfortable.
She helped me let go of beauty standards and gave me time for rest.
She absolved me of guilt for not living according to othersβ expectations.
She reframed my symptoms asΒ love letters from my inner child, calling me home to myself.
About Sally Garozzo
Sally GarozzoΒ is a clinical hypnotherapist and curious explorer of the midlife and menopause transition inside her podcast The Menopause Mindset. After a winding journey through music, anxiety, and unexpected hormone chaos, she now helps others navigate their own transitions through hypnotherapy. Her passion is helping others reclaim agency over their lives during menopause and beyond. Visit her at sallygarozzo.com and on Instagram and Facebook.
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