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Hot flushes and night sweats are commonly associated with the menopause – but the vast majority of menopausal women also suffer from mood and emotional problems, such as stress and anxiety. Research recently carried out by GP and menopause specialist Dr Louise Newson, founder of Balance Menopause, found 95% of nearly 6,000 perimenopausal and menopausal women had experienced a negative change in their mood and emotions during the menopause, with stress and anxiety being the most common psychological symptoms. Speaking to mark Mental Health Awareness Week (May 15-21), Newson says: “Because we often frame the menopause in terms of physical symptoms, such as hot flushes and night sweats, psychological symptoms, such as anxiety and depression, can go under the radar. “Every year I see hundreds of women struggling with menopause, and thousands more reach out on social media, looking for advice on symptoms that can impact relationships, social lives, confidence and careers.” Here, Newson, and other menopause and anxiety experts, discuss the link between the menopause and anxiety, and how to deal with it… What causes anxiety during the menopause? Low mood and anxiety can be common features of the perimenopause and menopause due to fluctuating and falling hormones, says Newson. “When oestrogen falls, levels of the mood-boosting hormone serotonin fall, too, while cortisol (the primary stress hormone) rises,” she explains. “In addition, the knock-on effects of physical symptoms, such as fatigue, hot flushes and aches and pains, can affect mood and self-esteem.” How common is menopausal anxiety? Newson’s research shows most women (95%) have some sort of mood dip during the menopausal period. Indeed, Dave Smithson, operations director at Anxiety UK, suggests anxiety is one of the key symptoms, if not the main symptom, affecting women during the perimenopause and menopause. “Often anxiety fails to receive the attention it warrants as a symptom of the menopause among the medical profession and indeed the public, which is concerning given the profound impact it can have,” he stresses. Who is likely to suffer from anxiety during the menopause?Sexual and reproductive health consultant Dr Paula Briggs, chair of the British Menopause Society, says the menopausal period has been described as a ‘window of vulnerability’, explaining: “Some women experience anxiety and low mood or depression in addition to other better-recognised menopausal symptoms. Sometimes these symptoms occur in isolation and the link with menopause may be less clear. “Mood-related changes are more likely in women who’ve had previous mental health problems, and in women experiencing surgical menopause [removal of the ovaries and or womb].” Can you get menopausal anxiety when you’ve never been anxious before? Anxiety caused by the menopause can strike women who’ve never had an anxiety problem before, Smithson points out. “Many women report new-onset anxiety, having never previously experienced anxiety at a level that it could be termed an anxiety disorder,” he says. “Others report a worsening of their pre-existing anxiety condition, as a result of the menopause.” “For women who’ve lived with anxiety for many years, when the menopause hits, they may report finding their anxiety has taken on a whole new identity, becoming more severe, intense, frequent or disabling, and consequently very challenging to manage.” What are menopausal anxiety symptoms? Although there are different types of anxiety, the symptoms tend to be the same irrespective of the underlying cause, explains Briggs. She says they can include feeling tense and nervous, being unable to relax, having difficulty concentrating, feelings of panic and dread, being unable to cope with normal daily activities, being overwhelmed, self-consciousness, and feelings of weakness and fatigue. Physical signs of anxiety include sweating, trembling, rapid heart rate and hyperventilation. “Where there’s no history of mental health problems and the symptoms and signs coincide with the menopause, they are more likely to be related to hormonal variability,” she says. “If there’s a background of anxiety and depression, then the symptoms and signs might be exacerbated by the menopause.” How is menopausal anxiety treated? Smithson says there’s still a taboo around the subject of anxiety, although he admits “great strides” towards breaking it have been made recently. “That said, access to support and treatment remain patchy, with many women left to cope alone and battle on through what can be one of the trickiest phases of their life. “Anxiety is both treatable and manageable and we would urge any women experiencing new-onset anxiety or worsening of pre-existing anxiety to seek support.” Briggs and Newson say HRT, if appropriate, is often the first treatment for menopausal anxiety, although Newson stresses: “HRT is the first-line treatment for all menopause symptoms, including mood-related symptoms. But the first piece of advice I give to any woman struggling with her mental health is to see a healthcare professional to discuss treatment options.” She suggests recording symptoms on the free balance menopause support app symptom tracker. Briggs says if necessary, antidepressant medication can improve outcomes, and talking therapies, such as CBT (cognitive behavioural therapy), are also important to help manage anxiety and depression, irrespective of the underlying trigger. “Some women, particularly those who respond partially to HRT, may need to consider adding an antidepressant, specifically one recognised to help with anxiety,” she says. However, Newson warns: “Often women are incorrectly prescribed antidepressants for menopause-related low mood and anxiety, but these mood changes are very different to clinical depression.” Can lifestyle changes help? The experts stress healthy lifestyles can really help improve anxiety symptoms, and Newson advises: “Beyond HRT, it’s so important to optimise your exercise and nutrition. A balanced diet with lots of fresh fruit and vegetables can help regulate your mood, and watch your alcohol and caffeine intake, as both can increase anxiety. “Regular exercise will lift your mood, and help you sleep, as anxiety can be a real barrier to a good night’s sleep.” She says studies suggest mindfulness can help with symptoms of anxiety and depression in menopausal women, and stresses: “Find time to focus on yourself and find some coping mechanisms you can turn to when you need them. If talking to a good friend helps with anxiety, give them a call. I find writing lots of lists helps me feel in control and calmer.” And Briggs adds: “Many women have unrealistic expectations about HRT, and it’s important to stress that lifestyle management is also an important aspect of managing the menopause, along with considering things such as cognitive behavioural therapy, hypnotherapy and mindfulness.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How to encourage green-fingered kids Cost of sunscreen could be increasing risk of skin cancer, charity suggests Ukraine Eurovision winners Kalush Orchestra invite Princess Kate to join them on tour

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Bode Miller has revealed that his three-year-old son, Asher, was hospitalised for carbon monoxide poisoning. The US Olympic alpine skier - who shares sons Nash, eight, Easton, four, twin sons Asher and Askiel, three, and daughter Scarlet Olivia, 19 months, with wife Morgan Miller - shared in a since-deleted Instagram post on 27 July that the incident came after a construction crane was parked in the driveway of their home. “Earlier this week we had a crane parked in our driveway for a few hours. Despite keeping the kids inside for obvious safety reasons, the little ones got really sick from it,” he captioned the deleted post, according to People. “Asher ended up in the hospital with carbon monoxide poisoning,” Miller said. “All are well now, but passing along as a reminder to all parents of the dangers of carbon monoxide. Reminder to go test your CO detectors.” While Miller’s post has since been deleted, his wife Morgan shared her own Instagram post about the incident on 28 July. “Receiving a lot of messages so addressing it here,” she captioned her video, which showed her three youngest children wearing oxygen masks in the hospital. “Two weeks ago, we had a crane at our house to remove our broken hot tub. Asher, Aksel and Scarlet innocently stood on the front step of our house to watch the action which resulted in them getting carbon monoxide poisoning due to the lack of airflow in our driveway landing them in the ER,” Morgan revealed. “They were on high flow oxygen for over four hours. It was a terrifying experience but thanking my lucky stars they are okay.” When asked by an Instagram follower how she recognised the signs of carbon monoxide poisoning, Morgan explained that Asher “was complaining of an upset stomach” and he appeared as “white as a ghost”. Asher then began to pass out, which prompted her to rush the toddler to the emergency room. While his tests came back normal, Morgan instructed her nanny to check if her other children were having any symptoms of poisoning. The nanny informed her that Aksel started to have the same symptoms as his twin brother. “I notified the nurse and she said if there’s ever more than one with the same symptoms then they check for carbon monoxide poisoning and sure enough that’s what it was,” Morgan said. “They had us clear the house and bring everyone down to get tested and they sent the fire department up to check our home.” In a separate comment, the professional beach volleyball player revealed that the family has carbon monoxide detectors in their house, but none of them went off. Carbon monoxide poisoning occurs when too much carbon monoxide is in the air, causing the body to replace oxygen in red blood cells with carbon monoxide. According to the Mayo Clinic, some of the symptoms of carbon monoxide poisoning include headache, weakness, dizziness, nausea or vomiting, shortness of breath, blurred vision, drowsiness, loss of muscle control and loss of consciousness. The recent health scare comes after their son Asher was rushed to the hospital following a febrile seizure in December – a convulsion in a child that’s caused by a fever. “Yesterday, Asher had a febrile seizure which scared us half to death. We took that same ambulance to the same hospital we took Emmy to but this time we got to leave with our child,” Morgan wrote in an Instagram Story at the time, alongside a photo of her husband lying down on a hospital bed with Asher asleep on his chest. Their daughter, Emmy, died in an accidental drowning incident in 2018 when she was 19 months old. In a separate Story, Morgan also shared a picture of the pro skier cuddling with his twin sons on the couch after they had brought Asher home from the hospital. “He’s home and back to his normal self,” she said. “I am reminded to slow down and realise life’s little gifts during this crazy holiday season because we already have everything we need… our loved ones, our health, and more time”. “Because time with the ones we love is all we could ever ask for,” she wrote over the final photo, which showed Miller looking affectionately at his three-year-old son. He is also father to daughter Dace, 14, and son Nate, 10, from previous relationships. In June 2018, their daughter Emeline died in a drowning accident at 19 months old. The child was found unconscious at a neighbour’s swimming pool in southern California. Miller, who has won six Olympic medals in alpine ski racing, shared at the time that he and his family were “beyond devastated”. “We are beyond devastated. Our baby girl, Emmy, passed away yesterday. Never in a million years did we think we would experience a pain like this,” he shared in an Instagram post, which featured a picture of his daughter. “Her love, her light, her spirit will never be forgotten. Our little girl loved life and lived it to its fullest every day. Our family respectfully requests privacy during this painful time.” Read More Bode Miller reveals three-year-old son was hospitalised after seizure Olympic gold medal-winning skier Bode Miller's 19-month-old daughter drowns in swimming pool Bode and Morgan Miller urge other parents to remain vigilant at pools after their daughter drowned The two best exercises for lowering blood pressure, according to study Experts reveal the most unhygienic things in your kitchen – and how to get them clean Hepatitis B and C could cause ‘significantly higher cancer risk’ than smoking daily pack of cigarettes

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What better way to celebrate the start of fall than with a Vince Camuto sale? It must be the season of discounts, as fashion retailers have been releasing sales left and right, and the latest to join the surge of weekend flash deals is from the popular women’s footwear brand. Although Vince Camuto is known for its chic booties and model-esque heels, it also has a fabulous curation of wardrobe staples, from chic jumpsuits to shimmering gowns to snazzy handbags. And through Sunday, September 24, you can get 30% off select styles. To guide you, we’ve handpicked our top picks from Vince Camuto’s sale as well as a few other discounted pieces. Just don’t forget to use the code SELECT30 at checkout.