In this episode of The Choice Space, Dr Lee David speaks with GP and menopause specialist Dr Carys Sonnenberg about the complex ways menopause can affect emotional wellbeing, physical health and everyday life.

Menopause is often described in terms of hormones alone, yet the experience is rarely that simple. In this conversation, Lee and Carys explore how hormonal changes interact with sleep, stress, lifestyle habits and wider life pressures. Many women find themselves navigating fluctuating moods, disrupted sleep and changes in concentration at the same time as managing work, family responsibilities and other demands.

The discussion highlights how menopause is highly individual. Some women experience few symptoms, while others notice significant changes in mood, anxiety or energy. Understanding these differences can help create a more compassionate and personalised approach to care.

They also explore practical ways of supporting wellbeing during this time – including the role of lifestyle medicine, cognitive behavioural strategies, nutrition and hormone treatment where appropriate. Rather than focusing on a single solution, the conversation reflects on how multiple approaches can work together to support women through the menopause transition.

This is a thoughtful conversation about complexity, choice and self-understanding during a significant stage of life.

Key moments

00:00 Emotional symptoms in menopause
02:22 Mood changes and mental health
04:01 The six pillars of lifestyle
09:10 Habits, coping and awareness
12:21 Hormones and brain chemistry
20:27 CBT approaches for menopause
28:35 Hot flushes and thoughts
32:28 Breathing and stress regulation
37:37 Nutrition and neurotransmitters
41:01 A small wellbeing choice

About the guest

Dr Carys Sonnenberg is an NHS GP and British Menopause Society menopause specialist. She founded Rowena Health, an online service providing holistic menopause care for women. She is trained in CBT and nutrigenomics and is co-author of Women’s Health Made Easy, due to be published in 2026. Carys is also a member of the Primary Care Women’s Health Society wider committee and contributes to education through national conferences and webinars.

You can contact her via her website, or on LinkedIn, Facebook and Instagram: @drcaryssonnenberg

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david), Facebook and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david