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Menstrual Cycle Dynamics and Their Impact on Psychotherapy: Insights From a Mixed-Methods Study.

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Area of Science:

  • Psychology
  • Psychiatry
  • Women's Health

Background:

  • The menstrual cycle (MC) involves hormonal shifts and inflammation impacting mood and cognition.
  • Psychiatric symptoms can worsen during specific MC phases, especially in premenopausal women.
  • The influence of the MC on psychotherapy experiences is under-researched.

Purpose of the Study:

  • To explore how menstrual cycle fluctuations affect clients' psychotherapy experiences.
  • To investigate the relationship between MC phases and therapy satisfaction.
  • To identify potential improvements for integrating MC awareness into therapeutic practice.

Main Methods:

  • An exploratory mixed-methods study involving 425 female clients.
  • Online survey including the Client Satisfaction Questionnaire-8 (CSQ-8) and WHO Well-Being Index (WHO-5).
  • Qualitative questions assessed symptom and therapy experiences across MC phases.

Main Results:

  • Therapy satisfaction was lower during premenstrual and perimenstrual phases.
  • Symptom exacerbation during these phases negatively impacted emotional states, participation, and perceived therapy effectiveness.
  • Open discussion of the MC in therapy was linked to improved outcomes.

Conclusions:

  • Menstrual cycle dynamics significantly influence psychotherapy experiences and outcomes.
  • Personalized clinical approaches considering MC-related factors are needed.
  • Integrating MC awareness into therapy planning can optimize treatment effectiveness.