EverCalm: Your Menopause, Reclaimed

Episode

8

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Perimenopause Rage, Mood & Brain Fog | Dr. Elisabeth Wong

September 17, 2026

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Dr. Elisabeth Wong

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Psychiatrist, Women's Mental Health

Microphone for EverCalm Menopause Podcast

Why Your Mind Changes in Perimenopause

Why do mood swings, rage and brain fog feel so out of character during perimenopause? Dr. Elisabeth Wong explains how fluctuating estrogen, progesterone and testosterone act on brain receptors that regulate mood, memory and attention. She covers when antidepressants are truly indicated versus overprescribed, why brain fog shows up as real structural change rather than imagination, the ADHD and perimenopause overlap, and evidence-based non-hormonal options including mindfulness, exercise, sleep hygiene and self-compassion.

In this episode, we cover

  • Why estrogen, progesterone and testosterone drive mood swings
  • When antidepressants are genuinely indicated versus overprescribed
  • What the 2026 Cambridge brain study reveals about menopause brain fog
  • The link between ADHD diagnosis and the perimenopause transition
  • Non-drug options that help: mindfulness, exercise and better sleep
Psychiatrist for EverCalm Menopause Podcast

Dr. Elisabeth Wong

Psychiatrist, Women's Mental Health

Dr. Elisabeth Wong is a specialist in psychiatry and Honorary Clinical Associate Professor at the Chinese University of Hong Kong and the University of Hong Kong. She works at the intersection of psychiatry, women's mental health and ethics in clinical care.

Resources mentioned

The Hormone-Brain Connection in Perimenopause

How shifting estrogen, progesterone and testosterone reshape mood, memory, focus and drive in midlife.

Antidepressants in Perimenopause: The Evidence

When medication genuinely helps, and why a full biopsychosocial assessment should come first.

Non-Hormonal Tools for Mood and Brain Fog

Mindfulness, exercise, sleep hygiene and self-compassion, all with evidence for midlife women.

Ready to Reclaim Your Health?

If this episode resonated with you, explore EverCalm Menopause for evidence‑based mind–body tools that support heart‑healthy habits, better sleep and calmer days.

Woman post menopause who is finding relief.