Late this spring, my doctor took my blood pressure and expressed concern about how high it was. “What type of stress are you under right now?” she asked.
“Oh, nothing, really,” I replied. She prodded a little, and then I said, “I just finished grad school, and I suppose that was stressful, but it’s over now. My husband and I are going to marriage counselling for the first time, because we’re about to celebrate our 25th anniversary and we’ve been trying to make some significant changes in the way our relationship functions. And my daughter moved out last year for university and I miss her so much. My son is going into grade 12 and I’ve been seeing a counsellor to prepare for an empty nest. We’re going to Europe this July, visiting 10 countries in 3.5 weeks, and there’s been a lot of prep, but other than that, I can’t think of anything.”
My doctor stared at me for an uncomfortable amount of time, then she said in a gentle tone, “Julianne, any one of those things could cause a lot of stress. Add them all together and I can see why your blood pressure is so high.”
I burst into tears. I realised after that appointment how tempting it can be to minimise my experiences. I’ve spent a lifetime doing that, so that I’m not causing difficulties or discomfort to anyone else. I bear all of that shit myself, until it becomes so heavy that I can’t carry it any longer and the whole house of cards comes tumbling down.
That happened for me this past June. But I couldn’t begin to understand or even acknowledge it then. Even now, months later, it still feels strange to type it out here. I feel removed from the story. It’s like I’m watching it happen to someone else.
My wonderful doctor told me to look after myself more. To get more sleep, to try a variety of lifestyle changes in order to lower my blood pressure. I remember saying to her, quite indignantly, “My blood pressure has always been perfect.” She responded with, “We’re all healthy until we’re not.”
I felt mild shame about my increased blood pressure, even when my doctor assured me that it wasn’t a character flaw. But it felt like one. We went to Europe, and I struggled my way through the trip that was designed as a celebration of our quarter-century marriage, my fiftieth birthday, Ava’s belated high school graduation and my MFA grad. Each day in a new country felt overwhelming and frightening. I was lost, and couldn’t recognise myself, which frankly scared the shit out of me.
This fall, my doctor suggested hormone therapy as we began to realise that so many of my symptoms were tied to perimenopause. I started on estrogen, and after a few weeks I stopped crying all the time for no discernible reason and a host of other symptoms started to abate. But my blood pressure remained high, so I just started on a low dose of medicine to try to bring that down.
It’s lovely to feel supported and cared for in my doctor’s office. It’s one of the first times in my life I’ve had this level of kindness from a medical professional. I’m going to turn 51 in just over a month, and my 50th year has been incredibly challenging on a number of fronts. But progress is being made, and that’s worth celebrating. My new counsellor has me saying, “I’m learning how to do things differently” while writing down the words DO LESS and looking at them every day. She has me trying to care for myself the way I’ve long cared for others, and learning how to receive nurture and love which I’m not good at doing.
It’s a strange experience to speak and teach on topics of wellness and mental health, while struggling day by day on a practical level with it myself. I told the teachers I worked with at a conference in October that I’m working on allowing myself to be sad, and scared, and giving myself permission to not have all the answers. It was truly beautiful how many teachers told me after my sessions how much my vulnerability had meant to them. In theory, I knew that vulnerable sharing is the key to true connection with others, but to understand this by experiencing it was next-level stuff.
I know from talking to several friends that this perimenopause/menopause journey (that’s an overly generous word for it; the first one I typed was ‘nightmare’) can last five or more years. Some who are on the other side of it told me to use these uncomfortable symptoms as an invitation to slow down, and take better care of myself. My counsellor says this stage is about getting comfortable with grieving for the end of childbearing and bringing up children. It’s painful to finish one chapter and move into another one, but that process happens so many times in our lives. Grief feels like a spot-on word.
So we carry on. I’m trying to be gentler, and move a little slower, and stay present. It’s helpful to know that others have gone through this and survived (even eventually thrived). I’d love to hear from you if you have any words of wisdom or encouragement for me in these new and weird perimenopause days. It feels so big and scary in the middle of it, but I also know it’s natural and an important life transition. Most of all, it’s great to know we are not alone.