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Wait one hot minute: what exactly is cognitive behavioral therapy for menopause?
Julie C Weitlauf1,2, Haley A Miles-McLean3,4, Leah S Millheiser5
1VISN 21 Mental Illness, Research, Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto.
Current Opinion in Obstetrics & Gynecology
|January 21, 2026
Summary
Cognitive behavioral therapy for menopause effectively reduces psychological distress from vasomotor symptoms. Further research is needed to understand its role for women with mental health conditions.
Area of Science:
- Reproductive Medicine
- Psychology
- Women's Health
Background:
- Cognitive behavioral therapy (CBT) is explored for menopause symptom management.
- Understanding CBT's role requires social cognitive and broader CBT research context.
Purpose of the Study:
- Review literature on CBT for menopause.
- Characterize interventions within social cognitive and CBT research frameworks.
- Identify knowledge gaps and future research directions.
Main Methods:
- Literature review of CBT for menopause.
- Analysis of intervention mechanisms and outcomes.
- Identification of research limitations and future needs.
Main Results:
- CBT for menopause reduces hot flash-related distress and interference, not necessarily symptom frequency/severity.
- Generalization effects include improved mood, sleep, and quality of life.
- Limited research exists on CBT efficacy for women with mental health conditions.
Conclusions:
- CBT for menopause is evidence-based for psychological symptom reduction associated with vasomotor symptoms.
- CBT for menopause is not a nonpharmacologic equivalent to hormone therapy.
- Further research is essential to clarify CBT's utility for women with mental health conditions.
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