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Writer's pictureBrandilyn Hallcroft

Hormones and Mental Health: Understanding the Link for Everyone

Updated: Nov 20

It’s astonishing how hormones affect our moods, emotions, and mental well-being. Hormones are key players in our lives, influencing everything from daily energy levels to managing stress. Both men and women experience hormonal changes throughout life, with shifts often becoming more pronounced with age. For women, this can mean navigating estrogen and progesterone cycles that impact mood, while men may experience changes in testosterone that affect energy and motivation. Studies show that nearly 80% of women report mood changes as they approach menopause, while up to 40% of men over 45 experience symptoms of low testosterone, including irritability and fatigue (American Psychological Association, National Institute on Aging).

Hormones and Mental Health

Recognizing these changes universally, we can move beyond stigmatizing phrases like “being hormonal” and develop a deeper empathy for anyone experiencing these shifts. From cortisol (the stress hormone) to serotonin and dopamine (the happiness and reward chemicals), our hormonal balance affects our mental health and emotional regulation more than we often realize. Let’s explore the major hormones impacting mental health, what they do, and safe, effective ways to manage these changes.


Essential Hormones and Their Impact on Mental Health

Hormones are powerful chemical messengers in the body that affect nearly every aspect of our physical and emotional lives. While we often associate hormones like estrogen and testosterone with reproductive health, the role of these and other hormones in regulating mood, motivation, and stress responses is equally important. Fluctuations in these hormones can profoundly impact mental health, contributing to everything from anxiety and irritability to depressive symptoms and mood swings. Recognizing how each of these hormones affects us can help reduce the stigma around mental health issues and lead to more empathy for ourselves and others.

In addition to the commonly discussed estrogen, testosterone, cortisol, serotonin, dopamine, and oxytocin, I’ll also consider melatonin, which is crucial in regulating sleep and mood. Understanding the impact of these hormones can offer valuable insights into why certain emotional states feel uncontrollable and provide a foundation for practical approaches to managing mental health.


Estrogen and Progesterone

These hormones are well-known for their role in the menstrual cycle, but they also play a critical role in regulating mood and stress. During the menstrual cycle, women may experience shifts in serotonin levels alongside fluctuations in estrogen and progesterone, which can contribute to symptoms of irritability, sadness, or anxiety. According to a study published in The Journal of Women’s Health, up to 75% of women report PMS symptoms, while about 20-30% experience more severe mood disruptions, such as premenstrual dysphoric disorder (PMDD). For both genders, hormone balance is vital for emotional stability, with estrogen declines during menopause and testosterone dips in men, often leading to feelings of sadness or loss of motivation.

Testosterone

Testosterone is frequently associated with male health, but it plays an important role in both men and women. In men, testosterone levels naturally decline with age, with about 30% of men over 50 experiencing low testosterone or "andropause" symptoms like irritability, low energy, and even depression (Mayo Clinic). Low testosterone in men has also been linked to reduced dopamine levels, contributing to mood changes and decreased motivation. For women, small amounts of testosterone help support mood stability, energy, and muscle tone, making it a key hormone for overall mental health in both genders.

Cortisol

Known as the “stress hormone,” cortisol helps us manage immediate stressors by triggering our fight-or-flight response. While helpful in short bursts, chronic stress can lead to elevated cortisol levels that impact our mood, leading to symptoms of anxiety, irritability, and fatigue. According to the American Psychological Association, long-term exposure to high cortisol can double the risk of developing depression and anxiety disorders. Managing cortisol levels is crucial for mental and physical health, affecting blood pressure, sleep, and immune function.

Serotonin and Dopamine

Often referred to as “happiness” and “reward” hormones, serotonin and dopamine influence mood, motivation, and feelings of satisfaction. Low serotonin levels are closely linked to symptoms of depression, while a lack of dopamine can result in apathy and low motivation. Harvard Medical School reports that up to 50% of people with major depression have lower-than-average dopamine activity, emphasizing the connection between hormonal health and mental well-being. These hormones are critical for everyone and are influenced by diet, exercise, and sleep.

Oxytocin

Oxytocin, often called the “bonding hormone,” is crucial in building connections and feelings of trust. It is released during intimate moments, such as physical touch, hugging, and even deep conversations, enhancing feelings of warmth and bonding. However, some aspects of modern “hook-up” culture, characterized by casual relationships without emotional commitment, may disrupt the healthy release of oxytocin. When oxytocin bonds are repeatedly broken or ignored, individuals may experience feelings of detachment or loneliness as the bonding cycle is interrupted (The Journal of Social and Personal Relationships). Understanding the importance of oxytocin in our emotional lives reminds us that fostering meaningful, consistent relationships can be essential for mental and emotional health.


Melatonin

Melatonin, often known as the “sleep hormone,” regulates our sleep-wake cycles, and imbalances in this hormone can have significant mental health implications. Produced mainly in response to darkness, melatonin helps us feel sleepy at night and wakeful during the day. A lack of melatonin due to poor sleep hygiene or irregular sleep schedules can lead to disrupted sleep, which is strongly associated with increased stress, anxiety, and mood swings. Research shows that chronic sleep deprivation can also lead to lower serotonin levels, which are essential for mood stability (National Sleep Foundation). Proper melatonin levels are, therefore, necessary for mental well-being, influencing everything from memory to emotional regulation.


How Hormones Affect Self-Regulation and Mood

Our ability to self-regulate — to manage our emotions, responses, and behaviors — is primarily influenced by our hormonal health. When hormones are out of balance, self-regulation can become a challenge. For instance, minor irritations can feel overwhelming during high cortisol. In cases of serotonin or estrogen dips, managing sadness or frustration may feel nearly impossible, even for those who practice mindfulness and emotional regulation techniques.

It’s also important to note that for many, hormonal fluctuations can feel as though they’ve “taken over,” leading to feelings and reactions that seem beyond personal control. Recognizing these shifts as part of the body’s complex hormonal landscape can be comforting, reminding us that these experiences are not weaknesses but natural responses to our body’s inner chemistry.

Balancing Your Hormones for Mental Health

Fortunately, there are ways to manage hormone-related mood changes effectively. Here are some strategies to support hormonal balance safely:

  1. Nutrition Certain foods can help regulate hormone levels and support mental health. For example, foods rich in omega-3 fatty acids, like salmon and walnuts, have been shown to help stabilize mood by supporting serotonin and dopamine production. Additionally, maintaining balanced blood sugar can help prevent spikes in cortisol, reducing anxiety and irritability.

  2. Exercise Exercise has been shown to boost endorphins, serotonin, and dopamine, naturally supporting mood stability. According to the Journal of Psychiatry and Neuroscience, even just 30 minutes of moderate exercise three times a week can reduce cortisol levels and improve serotonin production, helping manage symptoms of anxiety and depression.

  3. Sleep Poor sleep disrupts hormone cycles, particularly cortisol, serotonin, and melatonin. A consistent sleep routine can help regulate these hormones and support mood stability. The National Sleep Foundation recommends 7-9 hours of quality sleep for optimal mental health.

  4. Stress Management Techniques Practicing mindfulness, deep breathing, or yoga can significantly reduce cortisol levels. Studies published in Psychoneuroendocrinology show that 10-15 minutes of daily meditation can lower cortisol by as much as 20%, helping reduce stress-related mood swings.

  5. Supplements and Professional Guidance Certain supplements, like vitamin D and magnesium, may be helpful in cases of severe hormonal imbalance. However, it’s always recommended to consult a healthcare provider before adding new supplements, especially since hormone therapy or medications might be advised for persistent imbalances.

Understanding the role of hormones in mental health can help us understand our moods and reactions, especially when they seem beyond our control. By learning about the effects of these hormones and taking proactive steps to support balance, we can improve our mental health and overall well-being.

Let’s move past the stigma of “being hormonal” and the tendency to place blame on one gender. Now that we understand both men and women experience these fluctuations, we can recognize this as a shared human experience. Rather than judging, let’s cultivate empathy, compassion, and patience when someone is going through a hormonal shift beyond their control.

Including statistics (e.g., “According to the American Psychological Association, nearly 80% of women report mood changes as they approach menopause”) will provide readers with a comprehensive view of how common and impactful these issues are, helping to reduce stigma and encourage open conversations about hormones and mental health.

Disclaimer: Journaling is a powerful tool to support your healing process. The CBT exercises in Journals to Healing journals are intended to help you analyze and reframe your thoughts as part of a personal growth journey. However, these journals do not replace therapy or professional help. If you are experiencing intense emotions or feelings beyond your control, please seek professional assistance. Resources such as the National Suicide Prevention Lifeline (988) and Crisis Text Line (Text HOME to 741741) are available 24/7 for support. Remember, reaching out for help is a strength, and healing is a process.


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