I’m not saying it was an overnight thing—more like a ten-year process of discovery, rollercoaster style. One of those “strap yourself in, no brakes, no seatbelt, possibly no survival” rides.
If I’m honest, the process is still unfolding, but with less “aaaaggggghhhhh” and more “oh.”
Having mentally swapped Nemesis Inferno for It’s a Small World, I can now look back with deep compassion for that younger version of me at the start of perimenopause. 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, I’m now forty-nine). I’d 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 it…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. I’d 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 couldn’t even breathe next to me without triggering a tirade (I see the dichotomy too).
It was a maelstrom of symptoms that even Dr. Google couldn’t unpack, and yeah, neither could my actual doctor, but that’s 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 wasn’t. 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, I’d be fine.
But I wasn’t. That’s when insomnia truly began. I’d ‘learned’ 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 “low everything,” and that was the first time I heard the word perimenopause.
I didn’t think much of it at the time—standard 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:
“Hang on… A lot of the stories I’m hearing from women in midlife involve more than just symptoms; they involve deep, relational wounds. I wonder if there’s a link between menopause symptom severity and childhood experiences?”
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 in Maturitas that found women with higher ACE (Adverse Childhood Experiences) scores were up to 9.6 times more likely 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 that perimenopausal women with trauma histories demonstrated significantly higher levels of PTSD and depression than those in other hormonal phases. That explained so much of what I was feeling too.
And then I found a 2017 paper in the Journal of Clinical Psychiatry showing that women who experienced two or more ACEs were over 2.5 times more likely to have their first major depressive episode during menopause, even if they had no prior history of depression.
Finally, a recent 2024 review framed early trauma as a key driver of hormonal sensitivity, especially during life transitions like perimenopause. It helped me see that my struggles weren’t 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?
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 to break down progesterone into allopregnanolone and our ability to receive 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 can’t receive the soothing effects we should 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.
It’s called enmeshment trauma.
It’s 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 “closeness.” We prided ourselves on being a close family… 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. They’d confide in me about each other as if I were their best friend or therapist. I didn’t 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 “allowed” to find myself, but the price I paid was emotional withdrawal from my father, equally painful as we’d 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 “daddy’s girl,” 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 “daddy’s girl” 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 that’s 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 that’s what the menopause transition demanded of me.
And if it weren’t for those wild hormonal shifts, I’m not sure I’d have learned any of this.
Through my experience, I’ve come to see that menopause isn’t just a hormonal event. It’s 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, it’s 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, there’s 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 ‘busy work’ 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. D.O.W.N.
Now, eighteen months post-menopause, I find myself reflecting.
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 others’ expectations.
She reframed my symptoms as love letters from my inner child, calling me home to myself.
About Sally Garozzo
Sally Garozzo 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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