Beyond Hormones: Reframing Menopause as a Psychological Developmental Stage
A new perspective on menopause that moves beyond biology and embraces psychological growth.
Menopause is often framed only as a hormonal and physiological shift. Yet, clinical experience and emerging research suggest it is much more—a profound developmental stage comparable to adolescence or matrescence.
This stage is marked not only by physical changes, but by identity transformation, emotional recalibration, and redefinition of values, roles, and purpose.
Why This Matters
Instead of pathologising symptoms like anxiety, brain fog, mood disruption, or identity confusion, we can view them as signs of deep psychological restructuring—necessary for growth and wellbeing in midlife and beyond.
By recognising menopause as a psychological developmental stage, we open the door to more compassionate, effective, and transformative care.
Key Insights from Research & Clinical Practice
Identity Disruption & Reconstruction – A shift from inherited roles to self-authored identity
Trauma Reactivation – Old wounds resurface, creating both challenge and healing opportunity
Neurodivergence Recognition – Late diagnoses of ADHD or autism often emerge in midlife
Role & Relationship Recalibration – Changes in caregiving, intimacy, and work roles
Embodiment & Presence – Moving from self-silencing and performance to authenticity
Meaning & Purpose – Reframing loss into values-led, purpose-driven living
The Model for the Menopausal Developmental Transition (MMDT)
A therapeutic framework designed to support women and AFAB individuals as they:
Stabilise & Validate – Understanding they are not broken, but becoming
Disentangle & Discern – Unravel inherited beliefs and roles
Reclaim & Rise – Step into authenticity, desire, and agency
Anchor & Integrate – Live in coherence, sovereignty, and self-trust
This model integrates schema therapy, ACT, somatic work, EMDR, and feminist therapy—offering holistic, trauma-informed care.
Menopause is not just a physiological transition.
It is a developmental life stage where identity is dismantled and reconstructed.
Recognising and supporting this process is essential for long-term psychological wellbeing.
Want to explore the complete research and framework presented at the Australasian Menopause Society Conference?