When Hormones stop hiding the Truth. Perimenopause exhaustion, the reckoning after survival mode

I was having a conversation with one of my sons the other day about parenting now versus what I received. He thought it wasn’t much different accept for the presence of technology and having to navigate the impact of that on children. I said it was different because our parents often had their parents nearby and we were also a part of a community who looked after each other. Today we live in such an individualistic way and whilst in our area we have a strong community, the fact remains that people are really busy and trying to get by the best they know how and having to do it largely on their own.

Then I thought to myself, so many of the women I work with arrive at perimenopause in survival mode. Completely exhausted from all their years of mothering. For many, the years of mothering where we have sleep deprivation, a heavy emotional labour that we carry and years of trying to juggle work and home, the endless giving of energy mean that they live in a constant state of adrenaline and cortisol, just to get through the day. The lack of the ‘village’, of communal nervous system regulation means women are doing it alone all the time.

The workplaces we are in are designed for male bodies that have a linear hormonal cycle, predictable energy no ebb or flow. Not a 28 day cycle that has big fluctuations. Women’s bodies are cyclical, not linear. Energy, focus, and capacity shift across the menstrual cycle, and later in life, across hormonal seasons. But the expectation is “always on,” with no space for luteal slowdown, rest, or recalibration.

As technology innovation, particularly with AI and productivity culture has become the norm we see 24/7 emails and messaging which results in blurred boundaries. The demand is: faster, always available, produce more. Women’s bodies , designed for rhythmic cycles of activity and rest, are being pushed into an unnatural pace. This results in dysregulation, burnout, sleep disruption, and a sense of disconnection from their body wisdom.

As we normalise this we tell ourselves, this is what mothering means today, this is what being an adult woman means today. But the cost is high because our nervous system becomes very frayed and depleted. So by the time perimenopause arrives and estrogen and progesterone are both low, we experience; disturbed sleep, small stressors can trigger big reactions, our emotional regulation is harder, and or body doesn’t bounce back the same way it used to.

Most of us haven’t learned much about the impact of our hormones on our nervous system at all.

So yes, there is a question we have to explore about learning about our hormones and their impact on our nervous system and our behaviour. But for me, the bigger question is; How do we design lives, workplaces, and communities that honour the body, especially the cyclical, relational, deeply intuitive female body? And if you are thinking male bodies aren’t impacted by all of this, think again. Until we address all of this, our health, healing our nervous system, learning to find some regulation, it will all feel like we are swimming upstream.

Perimenopause as Turning point.

The reality is perimenopause often reveals to us the impact of decades living in survival mode. As estrogen and progesterone decline, their buffering affects on the nervous system start to fade. Estrogen is supportive of bonding, it is the soothing and accommodation hormone, it supports oxytocin and the bonding and pleasure from connection that that brings. Progesterone brings us calm. Also these two hormones don’t decline in an orderly fashion during our perimenopause transition. Progesterone declines first and estrogen has lots of ups and downs that makes us feel internally chaotic, as it moves towards its lower levels once we reach menopause. What they do both reveal is nervous system exhaustion and without their support we can no longer mask the cost of being in survival mode.

Oxytocin, pleasure and women’s nervous systems

Oxytocin is a key neuromodulator of the female nervous system. For male bodies Dopamine does this. Pleasure, touch, connection and community increase oxytocin, which builds resilience and vagal tone. Reduced estrogen can reduce oxytocin but pleasure can replenish it. Pleasure isn’t an indulgence, it is biology. Every moment of genuine pleasure — a hug, gentle self-touch, laughter with a friend, being moved by music, lying in the sun, safe intimacy, sexual and sensual pleasure — stimulates oxytocin, the neuromodulator that calms the female nervous system. Oxytocin counters cortisol and adrenaline, it strengthens vagal tone (our capacity to return to calm) and it builds a felt sense of safety and belonging. When you look at from this perspective, pleasure becomes medicine for midlife. It replenishes what decades of survival mode drained away.

Vagal Tone and Menopause

Vagal tone measures the activity of the vagus nerve, which regulates the body's "rest and digest" functions, and it's often assessed through heart rate variability (HRV). So Vagal tone is the body’s ability to regulate stress and return to calm. A lower vagal tone = more reactivity, poor recovery from stress, disrupted sleep. Estrogen decline may reduce vagal tone, making regulation harder. There are practices that help: yoga nidra, breathwork, gentle movement, singing/humming, somatic experiencing, safe touch. Yoga Nidra has been a game changer for me and I have found when I do it consistently, I sleep well. My brain also feels more relaxed. Somatic experiencing has many ways it helps but in this context it helps people build their interoception which is their ability to be with their internal experience - feelings, sensations, emotions. So when we become dysregulated it can be so helpful because we have a connection with all our feelings and emotions and have strategies to be with them and let them move through us. Rather than resisting them. All of this isn’t just “self-care”, it’s rewiring the nervous system for the next stage of life.

The bigger question: Lifestyle and systemic change

The real problem isn’t our biology - it is the culture we live in. Lack of community, unsupportive workplaces, and unrealistic expectations push women into survival mode. Women’s cyclical bodies need rhythms of rest and renewal, but society doesn’t recognise or honour them. We are made to feel like something is wrong with us. We are made to feel we are not resilient enough. Menopause is clever in many ways, It is a truth teller that often opens our eyes to dysfunction in our facets of our life. Culturally it reveals this mismatch. It’s not a personal failing; it’s a cultural design flaw. I wonder what would happen if work hours were designed around the rhythms of a female body?

Post Menopause brings Sovereignty

Menopause is not just loss, it’s an initiation into a new stage of power. With nervous system healing, women can access deeper calm, intuition, and authority. Post-menopause can be a time of reclaiming sovereignty, no longer running on survival mode but living in alignment with what nourishes us. Menopause is the autumn season of our life and often involves lots of reflection and review where we are called to let go of what we don’t need anymore. Many women often find their physical and mental health creates a strong impetus for all these changes to happen. It is hard to ignore what no longer works for us.

Menopause is not a medical “problem”it is a cultural opportunity: a chance to change how we live. Every time a woman honours her cycle, chooses rest, or reclaims pleasure, she disrupts the old patriarchal model and helps build a new one. So here we arrive with an invitation. What would it look like if we built a culture that truly supported women’s bodies — not just to survive, but to thrive?

For me the bigger question here is It’s not women’s bodies that are broken. It’s the systems we’re forced to live in that ignore how women’s bodies actually work.

Fawning and hypersocialisation, when survival becomes over accommodation

I have talked quite a lot about the fawning response before. A few years ago I was introduced to Brigit Viksnins work. In it, I was introduced to the concept of hypersocialisation, and as I thought about my own fawning response it made a lot of sense.

We often think of fawning showing up as people pleasing behaviour, which it is. But do you know it is actually more complex than that. Fawning which was coined by therapist Pete Walker, refers to the instinct to appease and accommodate others as a way to stay safe. When we fawn we use our social engagement system, which is the part of our nervous system where we usually feel safe and connected, as a survival response. Women and children are more predisposed to do this for a couple of reasons. Children because of relational power dynamics and the fact they have less physical strength, will use fawning as a response to evade danger. Women because they have estrogen and oxytocin which wires them for deep attunement and connection, will also use this strategy for the same reasons of power and strength, but also because they are biologically wired to connect. For those people with developmental trauma, fawning can become a deeply ingrained survival strategy, shaping how they relate to others and even to themselves.

Brigit Viksnins, a somatic trauma practitioner, expands on this concept with the term hypersocialisation. She describes hypersocialisation as an extreme form of fawning, where the nervous system is wired to prioritise social connection at all costs—even at the expense of one’s own needs, boundaries, and authenticity. Hypersocialisation isn’t just about being ‘nice’ or ‘people-pleasing’; it’s a profound survival adaptation rooted in early experiences where belonging and attunement to others felt like a matter of life or death.

Where I have seen this within myself and with clients is when we over function and over accommodate at the expense of our own needs. Yes, some people do develop this in their family system, and, I think the rough and tumble of the playground at school can deeply hone some nervous systems to develop this response to stay safe, as can some pretty toxic workplaces. With this, it brings some profound strengths. For me it is deep empathy, a sixth sense for what people are feeling which is of course a gift of being hypervigilant and the ability to read a room or space very quickly down to a somatic level. When we fawn like this we are putting on a mask and hiding behind it for protection. This disconnects us from our authentic self and from making deep authentic connections with others.

Understanding Hypersocialisation as a Trauma Response

Hypersocialisation emerges when a child’s primary survival strategy is to attune to others so finely that they anticipate and meet the needs of caregivers before their own needs are even acknowledged. This pattern often develops in environments where emotional safety was inconsistent or where a parent’s approval, love, or even basic presence was conditional. Rather than risk conflict, rejection, or abandonment, the child unconsciously learns that being hyper-aware of social cues and modifying their behaviour accordingly offers the best chance of maintaining attachment.

This adaptation doesn’t just disappear in adulthood. Instead, it can manifest in ways that are often mistaken for positive traits: being highly empathetic, socially skilled, and attuned to group dynamics. However, the cost of hypersocialisation is high—it often results in chronic exhaustion, resentment, and a disconnection from one’s own truth.

Signs of Hypersocialisation in Adults

Chronic Over-Attunement: Constantly scanning for social cues, micro-expressions, or shifts in others' emotions to adjust behaviour accordingly.
Shape-Shifting: Adapting personality, opinions, or emotional expressions based on the perceived expectations of others.
Difficulty Setting Boundaries: Feeling guilty or anxious when asserting needs or saying no.
Fear of Rejection or Conflict: Feeling emotionally unsafe if others are displeased, leading to habitual self-silencing.
Emotional Exhaustion: Overextending in relationships and social interactions, leaving little energy for self-care.

Healing from Hypersocialisation

Recovering from hypersocialisation requires a gradual process of reclaiming one’s inner truth, bodily autonomy, and emotional safety. Some key elements of healing include:

Reconnecting with the Body: Because hypersocialisation is a nervous system response, somatic practices like breathwork, grounding, and body-based therapies (such as Somatic Experiencing) can help restore a felt sense of safety.
Developing Internal Awareness: Journaling, meditation, and self-inquiry can help identify the automatic patterns of fawning and where they show up in daily life.
Practicing Boundary-Setting: Learning to say no, even in small ways, can be a powerful act of reclaiming agency.
Titrating Social Exposure: If social interactions are a primary trigger for hypersocialisation, gradually practicing authenticity in low-stakes environments can help retrain the nervous system to tolerate healthy differentiation from others.
Building Secure Relationships: Finding relationships where authenticity is welcomed—and not contingent on over-accommodation—can be deeply reparative.

Beyond Fawning: Reclaiming Authentic Connection

The paradox of hypersocialisation is that, in an effort to maintain connection, it often leads to self-abandonment. True connection, however, doesn’t require over-accommodation—it flourishes when both people can show up as they truly are. Healing from hypersocialisation is about shifting from relational survival to relational agency. It’s about allowing the nervous system to trust that being real is not only safe, but also the foundation for deeper, more fulfilling relationships.

For those who recognise themselves in this pattern, healing is not about becoming less social or less empathetic—it’s about integrating those gifts with a deep and abiding connection to self. From that place, true belonging can emerge—not because we’ve molded ourselves to fit, but because we’ve learned to stand fully in who we are. Connecting with desire and understanding our boundaries, supports us to move to this place of being comfortable and safe being in our own bodies.

If you think you might be abandoning yourself through fawning and hypersocialisation, come talk to me about somatic experiencing or relationship coaching. We can work with your nervous system so you can feel comfortable to express your boundaries and feel safe to be your true self.

If you want to understand your survival responses a little better, click on this link to download a complimentary copy of my short explanation of your brilliant nervous system's survival responses.