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Mind

Why the menopause has made me terrified of driving

June 5th 2019 / Jane Druker / 0 comment

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Jane Druker used to be confident behind the wheel – until she went through the menopause. As she discovers, it's a surprisingly common issue for menopausal women

I’m sitting in my own car at a familiar junction and the lights are on red. I’ve driven this route almost every week for the past 12 years but now I’ve lost the ability to breathe, my vision is becoming blurry, the sweat is starting to pool in my armpits and trickle down my chest. My arms shake as I grip the steering wheel. And when the lights change to green, the relief I feel is rapturous, freeing, heavenly.

Writing this down now I’m aware of how absurd it sounds. I am an adult woman of 52, I’ve lived and worked on three continents, I have a husband, a son and a giant mortgage. Oh, and I got my driver’s licence in 1982; I’m no newbie behind the wheel.

I don’t remember the precise moment the panic began. Did it creep up on me surreptitiously? I don’t know. But what I do know, is that this paralyzing feeling of terror didn’t use to happen. Why now?

Since I went through the menopause two years ago, anxiety – specifically a fear around driving on roads where there is space and speed particularly motorways and dual carriageways – sends me into frequent and frightening panic attack meltdowns. It doesn’t help that I live right next to the North Circular, one of the busiest multi-lane routes in London. It's baffling as this is the only place I seem to feel unsafe, vulnerable, exposed.

And, I’m not alone. When I mentioned this to Meg Mathews, the former music PR now menopause campaigner, who herself has been crippled by menopausal anxiety, we found ourselves cackling with recognition over our fear of open roads and lorries whizzing by. So far, so familiar to many menopausal women. Anxiety is one of the 34 symptoms of menopause.

I take the long route everywhere, am late for everything and use a hell of a lot more of public transport

Life changes, you get more worried, you’re older and you know more. Often the middle years are plagued by migraines, anxiety, fear. FUN!

Fear of driving during the menopause is a major discussion topic on forums such as Menopause Matters. It’s life-altering and can majorly affect your confidence. One woman posted an experience remarkably similar to my own.

“On the motorway, I was gripping onto the steering wheel so tight and if I had to overtake I was terrified and used to get lightheaded to the point where I didn't feel safe to continue," she said. Like me, she used to be a confident driver. She approached her GP for help and went on HRT. “Almost immediately my commute became easier and I can now actually smile whilst driving and even sing along to the radio now,” she said.

MORE GLOSS: Liz Earle - separating fact from fiction on HRT

In my case, HRT hasn't seemed necessary as driving anxiety is the only insurmountable symptom I have. I don't even like taking paracetamol let alone regular hormonal treatments. However, I do think twice now about using the car as my main mode of transport.

I used to cruise to Cornwall every summer – no more. I’ll take the train thanks very much. I used to pop over to Brent Cross shopping centre – no thank you, North Circular ‘monster’ road. I basically take the long route everywhere, am late for everything and use a hell of a lot more of public transport. Better for the environment anyway, I reason.

It’s good to know there’s an actual medical reason for it – believe me, you think you’re going mad. Doctor and hormone expert Randi Hutter Epstein, who didn’t recognise her own panic attacks as menopausal initially, explains that in the same way that the menopausal drop in oestrogen can cause a hot flush, it can also cause a sudden spike adrenaline. Hence the fight or flight anxiety response to something you’ve previously been utterly relaxed about.

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Eileen Durward, menopause expert at herbal supplements company A. Vogel explains on her menopause vlog that loss of confidence in everyday situations can come on very suddenly. “It may be in your workplace, if you give a lot of presentations or if you give speeches, you might find that suddenly, you just don’t want to do it anymore… and if nervousness creeps in as well, that can actually trigger a hot flush or a sweat.”

She adds: “Driving is actually a really common one. It’s amazing how many women say to me that suddenly the thought of having to drive through traffic just sends them into a panic.” As adrenaline spikes, the mind starts to take over and make ordinary situations fearful, she explains.

So why is my sweat-filled panic triggered only by driving? I’ve no idea. As with so many things menopausal, no one has all the answers, but thankfully there are many things you can do.

Eileen Durward says the most important thing remember is to drink water. "Dehydration will make your adrenals even more jumpy, even more nervous. If you’re getting hot flushes and sweats as well, then, it’s doubly important to keep your water intake up.”

I did go to see psychotherapist Fiona Austin who treated me with hypnotherapy. She has given me a toolkit which I have tried with varying levels of success depending on how much coffee I have imbibed and how jumpy I feel.

My driving anxiety toolkit

* Chew gum as it helps with stress (hence its creation for the American GIs in the second world war)
* Put a talisman in the car that makes you feel safe – like a childhood toy.
* Make yourself smile (in my case by bringing my dog with me, dogs just make everything in life better, obviously).
* Remember to breathe.

Alternatively, and I love this advice, don’t go to that frightening junction or on any motorway in the first place, and don’t scare myself. Instead, be kind to me instead. At the end of the day, we’re just flesh, blood and feelings, right?

Jane Druker is a writer and editor and co-founder of The F Club, a lifestyle site for 40+ women

Follow her on Instagram @janedruker

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