“I’m functioning, but I feel emotionally flat.”

This emotional flatness can be confusing and even frightening. Some women worry they’re becoming depressed. Others wonder if they’re burned out, unmotivated, or emotionally checked out. Often, it’s hard to tell where one ends and the other begins.

Sleep disruption is one of the earliest and most underestimated features of menopause — and it profoundly affects emotional resilience, anxiety, and mood.