Hormones and Depression in Women Over 40 — The Signs You Need to Know episode artwork

EPISODE · Apr 24, 2026 · 28 MIN

Hormones and Depression in Women Over 40 — The Signs You Need to Know

from Cortisol Coach · host Christine Marie

Depression in women over 40. Hormonal depression. Perimenopause and mood. Menopause and mental health. Estrogen and depression. Progesterone and mood. Cortisol and mental health. If you have been exhausted, emotionally empty, and told you are fine — your hormones may be at the root of everything. In this episode of the Cortisol Coach Podcast, Christine Marie sits down with Jessica Crespo — a Physician Assistant with 26 years of clinical experience spanning cardiology, emergency medicine, psychiatry, and over a decade in primary care — for the conversation most doctors are not having with their patients. Depression in women over 40 does not always look like depression. It looks like exhaustion. Irritability. Brain fog. Joint pain. Zero sex drive. Going through the motions as a mom and a wife while quietly disappearing on the inside. And for most women — nobody ever connects it to their hormones. Jessica knows this firsthand. Not just as a clinician — but as a woman who experienced a devastating hormonal crash that sent her into a severe depression. Her story is one of the most powerful proofs you will ever hear that hormones drive everything. She breaks down exactly what is happening in a woman's body after 40 — how declining estrogen, progesterone, and cortisol directly impact mood — and why so many women are being handed antidepressants when the root cause is hormonal. She shares exactly what to say to your doctor, what tests to ask for, and what to do if you get dismissed. This episode is for the woman who has been telling herself she is fine. You are not broken. Your hormones are. In this episode you will hear: What depression actually looks like in high functioning women over 40 Why women do not recognize they are depressed and what symptoms they are dismissing The direct connection between hormones and mood after 40 Why perimenopause and menopause are triggers for depression nobody warns you about Why so many women are on antidepressants when the root cause is hormonal What to say to your doctor and what tests to ask for The cost of putting yourself last for too long Get Jessica's Free Checklist: Am I Depressed? A Self-Assessment for Women Over 40 👉 https://www.facebook.com/jessica.crespo.colamaria Connect with Jessica Crespo: Facebook: https://www.facebook.com/jessica.crespo.colamaria Connect with Christine: Instagram: https://www.instagram.com/cortisol_coach If this episode helped you: Leave a review on Apple Podcasts — it takes 60 seconds and helps other women find this show Follow the Cortisol Coach Podcast so you never miss an episode Share this episode with one woman in your life who has been telling herself she is fine SEO Keywords & Tags: depression in women over 40, hormonal depression, perimenopause depression, menopause and depression, postpartum depression hormones, estrogen and mood, progesterone and depression, cortisol and mental health, women's mental health over 40, high functioning depression, hidden depression women, depression symptoms women, hormone imbalance mood, antidepressants vs hormone therapy, how to talk to your doctor about depression, women putting themselves last, cortisol coach, Christine Marie podcast, Jessica Crespo PA, hormone health women, depression and hormones connection

Episode metadata supplied by the publisher feed · Published Apr 24, 2026

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Depression in women over 40. Hormonal depression. Perimenopause and mood. Menopause and mental health. If you are exhausted, emotionally empty, and have been told you are fine — your hormones may be the root cause. Physician Assistant Jessica Crespo brings 26 years of clinical experience to the conversation nobody is having — why women over 40 are depressed and don’t know it, how declining estrogen, progesterone, and cortisol drive mood, and exactly what to say to your doctor to finally get answers.

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Hormones and Depression in Women Over 40 — The Signs You Need to Know

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This episode was published on April 24, 2026.

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