
Menopause Brain Fog & Anxiety: The Focus-Back Freedom Plan (So You Feel Sharp, Steady, and Like You Again)
Clear your head, calm your nervous system, and rebuild confidence — at home, at work, and in your own skin.
If you’ve been forgetting words mid-sentence, rereading the same email three times, or walking into a room like, “Why am I here?” — welcome to the club nobody asked to join.
Brain fog and mood changes (including anxiety) are commonly listed symptoms in perimenopause and menopause.
And here’s what I want you to hear first:
You are not losing your mind.
You are not becoming “useless”.
You are not too old to feel sharp.
You’re in a transition — and you can build a plan that brings your clarity back.
What menopause brain fog can look like (so you stop doubting yourself)
Forgetting names/words
Losing your train of thought mid-conversation
Struggling to concentrate
Feeling mentally “slower” or scattered
Add poor sleep and night sweats on top, and focus gets even harder.
Step 1: The 3-part truth (that brings relief)
1) Hormones can affect brain and mood
Perimenopause/menopause is associated with symptoms like mood changes, anxiety, and brain fog.
2) Sleep is a focus multiplier
If sleep is disrupted, your memory, patience, and decision-making suffer. (If you read Post 2, you already know I’m passionate about this.)
3) Stress makes it louder
Midlife often comes with a lot: ageing parents, teens/adult kids, work pressure, relationship changes, financial stress. The brain fog isn’t always only hormones — it’s the whole load.
This is why we don’t do one tiny tip. We do a Freedom plan.
Step 2: The Focus-Back Freedom Plan (simple, doable, effective)
Pillar A — Calm the nervous system (daily, not perfectly)
Pick 2 of these daily:
10-minute walk (outside if possible)
5-minute breathing practice
Strength training (even short sessions)
Journalling: “What’s heavy today?”
Prayer/quiet reflection (if that fits your life)
Anxiety in menopause/perimenopause is real — and you deserve support, not dismissal.
Pillar B — Create “external brain” systems
Because guess what? You’re not meant to hold everything in your head.
One notebook (not five)
One calendar (with reminders)
One daily list (top 3 priorities only)
A “parking lot” list for thoughts that pop up at night
This is not weakness. This is wisdom.
Pillar C — Eat for steady focus (not perfection)
Try this for 7 days:
Protein at breakfast
Add colour (veg/fruit) twice daily
Hydrate
Reduce “white carb spikes” when you need steady brain power
Again: no food shame. Just support.
Pillar D — Move your body for your brain
Movement supports mood and cognitive function — and it’s also a sneaky confidence builder.
Start with:
20-minute walk, 4x/week
2 short strength sessions
Stretching before bed
Step 3: Work + confidence (because midlife women still have things to do)
If brain fog is affecting work, here are some quiet power moves:
Use meeting guardrails
Ask for agendas in advance
Take notes openly (no pretending!)
Summarise decisions at the end: “So we’re doing X, by Y date.”
Protect deep work time
One 60–90 minute block daily
Phone on Do Not Disturb
Close tabs (yes, all 37 of them 😅)
Try the “one-touch rule”
Email comes in → do it, delegate it, diary it, or delete it. Don’t re-open it five times.
This is how you reclaim mental bandwidth.
Step 4: When to see your GP (and what to discuss)
If brain fog/anxiety is persistent, or paired with significant sleep disruption, it’s worth a conversation with your GP. Menopause guidance recognises mood and cognitive symptoms as part of the transition.
Helpful questions to ask
“Could this be perimenopause/menopause based on my age and symptoms?”
“Do we need to rule out other causes (thyroid, iron, B12, depression, anxiety disorders)?”
“What treatment options might help — lifestyle, therapy supports, hormonal or non-hormonal?”
“If considering MHT, what are the benefits/risks for me personally?”
And just as a reminder: for most women over 45, diagnosis is often symptom-led — you don’t need to chase fluctuating hormone tests to “prove” you deserve help.
Step 5: The “I’m not myself” moment (what to do right then)
When you feel scattered or panicky:
Put both feet on the floor
Exhale slowly
Name 3 things you can see
Drink water
Do the next tiny task (not the whole life)
Your brain likes small wins. Small wins restore trust.
Your sharpness is not gone — it’s just covered
Midlife doesn’t erase your intelligence.
It challenges your energy systems.
And the beautiful thing? Systems can be rebuilt.
So here’s your permission slip:
You can need support.
You can ask for options.
You can create structures that make life lighter.
You can still be powerful — even on foggy days.
Until we chat again,
Blessing & hugs to you my dear friend,
Dianne xx






















