Tag Archives: mental health

How Hormones Shape Women’s Mood: What Every Woman Should Know

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Hormones influence nearly every system in the body; metabolism, sleep, energy, and especially mood. For many women, emotional shifts can feel sudden or seem to come out of nowhere. In fact, they often reflect real, predictable biological patterns. Understanding these patterns can help women reduce self-blame, communicate their needs more clearly, and recognise when psychological support or medical evaluation may be useful. As therapists, we see how often women pathologize themselves for what is, in part, normal hormonal variability. This article highlights the main hormonal influences on mood and how they interact with stress, trauma, and daily life.

The Menstrual Cycle: A Monthly Emotional Landscape

Oestrogen

  • Typically rises in the first half of the cycle (follicular phase).
  • Often associated with improved mood, motivation, and mental clarity.
  • Can enhance serotonin and dopamine activity, which contributes to feelings of well-being.

Progesterone

  • Rises in the second half of the cycle (luteal phase).
  • Has a calming effect for some women, but for others contributes to irritability, low mood, or emotional sensitivity.
  • Sudden drops in progesterone and oestrogen before menstruation can contribute to PMS or, in some cases, more severe PMDD, which includes intense mood swings, depression, and anxiety.

Tracking cycle-related mood patterns can help identify when emotional shifts are hormonally influenced rather than signs of failure or instability.

2. Hormones and Stress: The Cortisol Connection

Cortisol, the body’s main stress hormone, interacts with reproductive hormones in ways that can amplify emotional experiences.

  • Chronic stress can disrupt the menstrual cycle and intensify mood symptoms.
  • Many women report of feeling more anxious, overwhelmed, or fatigued during times of hormonal fluctuation when stress levels are also high.
  • From a therapeutic perspective: Supporting self-regulation, boundary-setting, and stress reduction can significantly ease hormone-related emotional shifts.

3. Mood Changes Across Reproductive Life Stages

Adolescence

Hormonal surges paired with identity formation and social pressures can make teens especially sensitive to emotional dysregulation.

Pregnancy

Oestrogen and progesterone soar, leading to:

  • Heightened emotional responsiveness
  • Increased need for rest and support
  • Potential vulnerability to perinatal anxiety or depression, especially in those with a history of mood disorders

Postpartum

Rapid hormonal drops combined with sleep disruption and new-parent stress can contribute to:

  • Maternity blues (common and short-lived)
  • Postpartum depression or anxiety (more persistent, requiring attention)

Perimenopause

This transition often brings:

  • Unpredictable hormone fluctuations
  • Mood swings
  • Irritability
  • Increased anxiety
    Women frequently describe feeling “not like myself,” which can be deeply unsettling without proper understanding.

Menopause

While hormone levels are lower overall, emotional steadiness often returns once fluctuations settle.

4. Hormones Don’t Act Alone

Hormones influence mood, but they don’t determine it. Psychological factors intertwine with biology:

  • History of trauma can increase sensitivity to hormonal shifts.
  • Internalised expectations (e.g., “I should be on top of things”) intensify distress.
  • Relationship dynamics often become flashpoints during hormonally sensitive times.
  • Sleep, nutrition, exercise, and social support all modify hormonal effects.

This means that therapy and lifestyle changes often significantly reduce hormone-related symptoms, even when biology is part of the picture.

5. How Therapy Can Support Clients

1. Self-Compassion Over Self-Criticism

Reframing hormonal mood changes as biological patterns, not personal flaws to reduce feelings of shame.

2. Emotional Regulation Strategies

Mindfulness, grounding techniques, and cognitive reframing can be especially helpful during hormonally vulnerable phases.

3. Tracking Patterns

Encouraging clients to track mood, sleep, and cycle patterns can empower them to anticipate shifts and plan accordingly.

4. Communication Skills

Helping women articulate their needs to others, during sensitive times in their cycle, can transform relationship dynamics.

5. When to Seek Medical Input

If mood symptoms are severe, disruptive, or cyclical, a medical evaluation for PMDD, thyroid issues, or perimenopause-related changes may be appropriate.

Conclusion

Hormones play a significant role in women’s emotional experiences, but they are just one piece of a larger mind-body system. When women understand the predictable patterns behind their emotional shifts, they can respond with insight and self-care rather than self-blame. Therapists can support this awareness, helping women move toward greater emotional stability and empowerment.

Collette O’Mahony (Dip.Psy.C)

To book a free introductory session (15 minutes) contact me: info@colletteomahony.com

Energy Sources

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Finding inner-balance

A key to achieving emotional balance is in understanding the sources of our energy. Is it renewable energy, grounded in mindfulness, self-awareness, and intrinsic motivation? Or are we relying on a secondary energy source, which is often external and unsustainable, such as seeking validation, praise, or status?

Renewable energy is internal, arising from practices that foster emotional and mental well-being. This kind of energy comes from a place of mindfulness, self-awareness, and an authentic connection to oneself. When we draw from this energy, we are more likely to experience emotional resilience because we are not dependent on outside circumstances or external validation. We are grounded in our inner self-worth, capable of staying calm in the face of adversity, and able to make thoughtful decisions rather than reacting impulsively to fear or stress. Renewable energy is self-sustaining. Mindfulness practices, such as meditation, journaling, or spending time in nature, help cultivate this energy. It is also nurtured by an ongoing practice of self-compassion, where we approach challenges with curiosity and patience rather than self-judgment.

This energy allows us to face both optimism and pessimism without getting lost in extremes, because it fosters emotional flexibility—the ability to respond appropriately to whatever arises.

Secondary energy sources are externally driven, often coming from a need for praise, validation, status, or attention. These sources of energy are less stable and can be fleeting, which makes them unreliable when facing emotional challenges. If our emotional well-being is tied to how others perceive us, we become vulnerable to external fluctuations. For example, if we rely on praise to feel good about ourselves, it can lead to a pattern of people pleasing and co-dependency. On the other hand, when we don’t receive the validation we seek, it can trigger pessimism and feelings of worthlessness. Relying on external energy sources creates a cycle where our emotional state is dictated by circumstances beyond our control. This can leave us feeling emotionally depleted, causing us to oscillate between extremes of behaviour, from excessive optimism when things go well to deep pessimism when they don’t.

Just as we learn unhelpful habits, such as relying on external sources of energy, we can also unlearn them. Firstly, we need to recognise patterns of behaviour. Behavioural Therapies such as CBT helps us chart our maladaptive behaviour patterns and to recognise triggers that lead to these spirals.

For online one-to-one therapy sessions please get in touch with me at: info@colletteomahony.com.

This is an extract from by book ‘A Compass for Change’. Available on Amazon.

Collette O’Mahony.

Defence Mechanisms

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Excuses, excuses.

Excuses can be seen as a way to mitigate personal responsibility or as a subtle form of apology. We often use them in hopes of softening the frustration of someone we have let down, yet consistently relying on excuses can reveal a conscious or unconscious attempt to manipulate other people’s emotions, seeking either pity or control. It’s important to differentiate between someone making an excuse to spare another’s feelings and someone doing so to avoid accountability.

We employ all kinds of excuses to justify poor behaviour. These excuses spring from our belief system and are fertilised by unconscious guilt, shame or denial. Admitting we are wrong deflates the ego, while using an excuse neutralises the effect on our self-esteem. Using excuses like being distracted or overwhelmed with work is less damaging to our ego than admitting we are negligent or forgetful. Excusing our behaviour shifts responsibility to external factors, allowing us to avoid accountability. In so doing, we do not have to feel or process any guilt associated with our behaviour.

When we continually use excuses to mask our behaviour, we are signalling to the world that we have no control over our actions. Our energy conveys that we are not mature enough to take responsibility for our choices and their consequences. Excuses and denial are weeds that choke the seeds of potential. Every excuse we make to avoid facing our emotions stunts our growth, and the harm we inflict on our authentic self is mirrored back to us by the outer world.

Energy Signals

Feelings, such as shame and guilt, are less desirable than dignity or pride, and call for humility. It is the value judgment we attach to an emotion that characterises the feeling as right or wrong, good or bad. These labels are often subjective and are shaped by past experiences and beliefs. The key to releasing an emotion is to allow it to exist without assigning a value to it. This form of acceptance is transformational.

Emotions are energy signals from our body informing us of certain behaviours that are out of alignment with our authentic self. If we’ve wronged someone, they serve as a prompt to address the situation. If we avoid the prompt, the energy from the emotion is projected in the mind and becomes distorted by value judgements. For instance, a man cuts ahead of people queueing at a coffee takeout. He becomes aware of an energy signal that indicates he is out of sync with the people around him (our collective energy comes from the same source). Instead of apologising or stepping back in line, he ignores the emotion, and it triggers a feeling response such as ‘I’m justified because I am in a hurry’, or, ‘I am a regular customer and deserve to be served first’.

An objectified emotion becomes a feeling. Continuing to ignore energy signals lead to further projection of hurt and pain onto the world around us, which can manifest in disagreements at work, or arguments at home. If not addressed, these situations escalate into conflict and drama.

We may automatically use avoidance as the best option to numb our feelings by binging on TV, food or drink. Regardless of the avoidance strategy we use, we are letting our unresolved conflicts dictate our behaviour instead of confronting the issue. When we deny a feeling within us, we consign the energy to the unconscious where it causes behavioural defects. When we avoid necessary conversations to resolve conflicts, it often stems from a fear of the outcome. We may have witnessed or participated in conflicts that led to irreparable breakdowns, which have shaped our coping strategies. We might either avoid disputes altogether to preserve a relationship, or end a relationship to steer clear of conflict. This is the foundation of maladaptive behaviour, where we link every tense argument to a potentially explosive situation based on our history.

Releasing Emotions

We need intention and self-awareness to follow our behaviour back to its origin. We also require determination. We have magpie minds that alight on glitter rather than mining for real treasure. Once we recognise disturbing thoughts and behaviours, we may feel compelled to struggle against them. We falsely believe that by fighting them, we can eliminate unwanted inclinations. However, our role is simply to be an observer. When we observe difficult thoughts, we must also experience the emotions that accompany them. Avoiding our feelings can result in mental wrestling, leading to a chaotic spiral of thoughts. Notice an emotion in your body that is triggered by a thought or feeling. (Remember, a feeling is an emotion embellished with value judgements; an emotion is a sensation stripped of thought.) Allow the emotion to be as it is, whether it is a tingling or heavy sensation; just observe it without resistance or judgement. With this continued practice, the energy will release and it can no longer fuel difficult thoughts and maladaptive behaviour.

When we become aware of maladaptive behaviours and their source, they cease to have an unconscious hold over us. Instead of an automatic reactive response in a triggering situation, we have a conscious choice of how we act, or react to the emotional stressor. Avoidance is a maladaptive behavioural response to excessive fear and anxiety. Avoiding challenging situations may provide temporary relief, but it can hinder personal growth and fulfilment over time. Avoidance as a coping mechanism leads to dependence, and it undermines our confidence.

We must push through limiting attitudes if we are to germinate and grow. A seed needs darkness to germinate and light to grow. When we are immersed in darkness, we are in germination; we must keep pushing through until we reach the light of a new consciousness, a higher level of understanding. Life is cyclical, seasons come and go, and we are perennial, cosmic flowers having a human experience. 

Taken from A Compass for Change

Collette O’Mahony

June 2025

Recognising Behaviour Patterns

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Maladaptive behaviour refers to actions that are ineffective or counterproductive when adapting to situations. These behaviour patterns often hinder personal growth, coping skills, or social functioning. We have already discussed avoidance as a maladaptive strategy, which can lead to conflict in relationships or work, impacting mental health.

Maladaptive behaviours are usually formed to serve a purpose, such as relieving stress, or to avoid uncomfortable feelings. By understanding their function, we can look at healthier alternatives to fulfil that purpose. We need to recognise the emotional stressors that trigger our maladaptive behaviours. For instance, feeling unwell might lead us to worry that our symptoms indicate a serious condition. If this behaviour goes unchecked, it may escalate and we start to catastrophise, imagining our illness as a life-threatening disease. This fear often originates from past experiences, such as a loved one who visited the doctor and ended up in the hospital for an extended period, or perhaps never returned home. In this case, the fearful emotional memory is the root cause of the catastrophising behaviour, which in turn induces anxiety.

Passive-aggressive behaviour is a defence mechanism that people use to express negative feelings indirectly rather than confronting them openly. This behaviour often stems from an inability or unwillingness to communicate emotions like anger, frustration, or resentment in a direct, assertive way. Instead of addressing issues head-on, individuals who use passive-aggressive tactics engage in subtle resistance, sarcasm, procrastination, or sullen behaviour. This defence mechanism often develops as a way to avoid conflict or the discomfort of expressing anger openly, especially in environments where direct expression of emotions is discouraged or unsafe. While passive-aggressive behaviour may temporarily shield someone from confrontation, it ultimately undermines relationships and personal growth. It leads to unresolved issues and creates confusion or frustration for others, as the true emotions remain hidden behind a mask of compliance or indifference.

Another example of maladaptive behaviours is people-pleasing, especially if it tries to emulate, rather than demonstrate genuine compassion. People-pleasing can be used to gain social acceptance, affection and to boost low self-esteem. This compulsivity arises from the need to be liked, accepted and fit into society.

To uncover the root of a maladaptive behaviour such as catastrophising, people-pleasing or passive-aggressiveness, we must examine our core beliefs, asking ourselves: Who did we feel we had to please in order to survive? And deep down, are we still trying to gain that person’s approval?

It is essential to connect to our authentic self to prioritise our goals and well-being over social approval. When we are guided by our authentic self, we find that our best interest is also for the highest interest of others, this is a natural symbiotic relationship that occurs in the shared fabric of existence.

Trigger and Response.

With guidance and practice, we can learn to recognise triggers that cause a heightened emotional response to an event, person or image. We must identify these triggers in the moment, pause, then using something as simple as three deep breaths to break the automatic link between the emotional stressor and our automatic behavioural response, or reaction.

By taking responsibility for how we manage our emotions, we free ourselves from being ruled by automatic, often impulsive, behaviours that can escalate situations into conflict. Instead, we gain the freedom to choose how we respond, ensuring that our actions align with our values rather than our immediate emotional state.

When emotions are suppressed rather than addressed, they tend to resurface later, often with more intensity, triggered by similar situations from the past. Taking responsibility means acknowledging these emotions and addressing them head-on, rather than letting them fester. Once the emotional intensity cools, reflecting on the situation and the emotions it evoked such as fear, anger, guilt, or something else, gives us the power to understand our patterns and anticipate future reactions.

True Potential.

Taking responsibility is an important step towards realising our true potential. We must hold ourselves accountable for our thoughts, words and actions that negatively impact on our lives and others. Every harsh word from the inner critic of our mind, toward ourselves, shrinks the fulfilment of potential. When our minds are restless and our hearts are troubled, we lose connection with our inner guidance and struggle to know which way to go. When our minds are calm, our hearts open, and we gain clarity.

Through quiet reflection and conscious breathing, we can gain access to inner directive and our truest nature. True self is deeper than flesh, it is a wholesome nourishment in the seed of the individual, propagated by responsibility and freedom. The courage to change helps us to break through the tough shell of mental inertia to realise the fruit of our true design. Healing work is tending to the seed, encouraging it to germinate and casting off the husk of conditioned behaviour and unconscious beliefs. The seed of potential must be nourished by daily mindfulness to expand awareness.

We all have blind spots when it comes to our behaviour, sometimes it takes someone else to challenge us on our difficult or challenging behaviours. When confronted with these blind spots, we often become defensive or deny them, confusing our behaviour with our sense of identity.

An extract from my book A COMPASS FOR CHANGE

For online counselling contact me at : info@colletteomahony.com

or visit my counselling page colletteomahony.com/counselling

A New Era of Therapy.

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The landscape of counselling has been transformed by the advent of online therapy. No longer do we need to stress about battling traffic, searching for a car park space near the therapist’s office, or worrying about making it to an appointment on time via public transport. Instead, we can simply make a cup of tea, settle into a quiet space, and click on the secure link sent by our therapist.

The ease and accessibility of online counselling have made therapy more inclusive and convenient, allowing individuals to seek support from the comfort of their own homes. Whether you are juggling a busy schedule, living in a remote location, or simply prefer the privacy of an online session, virtual therapy provides a seamless way to access professional support without additional logistical concerns.

The Changing Face of Online Therapy: Chrysalis and PALM

In the UK, Chrysalis has long been recognised as a leading provider of counselling courses, offering comprehensive training for aspiring therapists nationwide. Recently, they have expanded their services to include online therapy through a pioneering mental health initiative known as PALM.

Palm

I had the privilege of joining the PALM program during its pilot phase, helping to test and refine its online counselling service. The significant interest in this initiative highlights both the dedication of the team behind PALM and the growing demand for hassle-free therapy options. PALM has developed a secure video platform and booking system designed with client confidentiality and user-friendliness in mind. One of its key benefits is the ability for clients to choose a therapist who feels like the right fit for them, reinforcing the importance of a personalised therapy experience.

Making the Most of Your Online Therapy Sessions

From my experience as an online therapist, I have gathered some useful tips for those considering one-to-one online counselling. Implementing these suggestions can help ensure you get the best out of your sessions:

Preparing for Your Sessions

  • Set Clear Goals: Consider what you hope to achieve from therapy. Setting realistic and achievable goals with your therapist can provide a sense of direction and progress.
  • Understand the Process: Ask your therapist how online therapy works and what to expect. If any terminology is unfamiliar, don’t hesitate to ask for clarification.
  • Create a Safe Space: Choose a quiet, private area in your home where you won’t be disturbed. If you’re concerned about being overheard, using headphones can enhance privacy.
  • Minimise Distractions: Turn off notifications, silence your phone, and close unnecessary tabs on your laptop to remain fully present during the session.

During the Session

  • Use Your Time Wisely: Therapy is your space to explore thoughts and emotions that you may not feel comfortable discussing with friends or family. Be open and honest with your therapist about how you’re feeling.
  • Stay Present: It can be easy to let your mind wander, especially in an at-home setting. Engaging fully in the session will help you gain the most from the experience.

After the Session

  • Take Time to Reflect: Once your session ends, check in with yourself. How do you feel? Are you overwhelmed, relieved, or experiencing a mix of emotions? This self-awareness can help you process your thoughts and track your emotional progress over time.
  • Step Outside If Possible: If you’ve had an intense session, a change of scenery, such as a short walk or some fresh air, can help ground you.
  • Reach Out for Support: If you feel the need, consider letting someone you trust know that you’ve had a session. Having a trusted person check in with you afterward can be a source of comfort.

Building Trust in the Online Therapy Space

It’s completely natural for therapy to feel unfamiliar at first. Building trust and establishing a strong connection with your therapist takes time. If you ever feel uneasy or unsure, communicating these feelings with your therapist can be incredibly beneficial. Being open about your experience allows your therapist to tailor their approach to better support you.

Therapy is a journey of self-discovery, healing, and growth. Whether you’re navigating a significant life transition, coping with grief, or seeking to understand yourself better, online counselling offers a valuable space for reflection and change. By approaching it with an open mind and a willingness to engage, you can make the most of this transformative process—right from the comfort of your own home.

Start your counselling journey today by browsing through Palm’s directory of skilled therapists at palmtalkingtherapy.com

Article written by Collette O’Mahony, Pluralistic Therapist and member of PALM.