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Writer's pictureGeorgina Sexton

6 Top Tips for Reducing Hot Flushes

Hot flushes are one of the most common and often uncomfortable symptoms experienced during menopause. They can feel overwhelming, disruptive, and frustrating. However, with the right strategies, you can reduce both the frequency and intensity of hot flushes and regain control. Techniques from Cognitive Behavioural Therapy (CBT), hypnotherapy, and positive psychology offer powerful tools to help you manage hot flushes more effectively.


Here are some top tips to get you started.


1. Challenge Negative Thinking with CBT


Hot flushes can lead to a cascade of anxiety and stress, which only worsens the experience. For instance, when you feel a hot flush coming on, you might think, “This is unbearable,” or, “It’s going to get worse,” which increases the intensity of the sensation. CBT teaches you to identify these automatic negative thoughts and replace them with more helpful, realistic thoughts.


Tip: Reframe Your Thoughts

Next time you feel a hot flush starting, challenge the negative thoughts that come with it. Replace “I can’t stand this” with “This is temporary, and I can handle it.” By reframing your thoughts, you can reduce the stress and anxiety associated with hot flushes, which in turn can lessen their severity.


Practice:

  • As soon as you feel a flush beginning, pause and take a deep breath.

  • Notice the thoughts that pop up and ask yourself, “Is this thought helping me?”

  • Replace it with something more constructive, like “This will pass soon,” or “I’m in control.”


2. Use Hypnotherapy to Cool Down


Hypnotherapy is an effective way to manage hot flushes by helping your mind influence how your body responds. In hypnosis, your brain can be guided to imagine cool, calming sensations, which can lower the intensity of a hot flush and even reduce its occurrence over time.


Tip: Visualise Cool, Calming Scenes

During a hot flush, try using a guided visualisation technique. Close your eyes, and imagine yourself in a cool, serene environment—perhaps by a lake or in a shaded forest. The more vivid you make the scene, the more your body will respond to the sensation of coolness.


Practice:

  • Close your eyes and take a slow, deep breath.

  • Picture a cool breeze, or imagine dipping your toes into cold water.

  • Focus on how your body feels in that environment, directing your attention away from the flush and toward the sense of cool relief.


Practicing this regularly can train your brain to react more calmly to hot flushes, helping you regain control over your body's response.


3. Breathe Through It: Relaxation Techniques from CBT and Hypnotherapy


One of the best ways to manage hot flushes is through controlled breathing. Both CBT and hypnotherapy use deep-breathing exercises to activate the body’s relaxation response, which helps lower the intensity of physical symptoms, including hot flushes.


Tip: Try Deep Breathing Techniques

When you feel a hot flush coming on, try a simple breathing exercise:

  • Inhale slowly through your nose for 4 seconds.

  • Hold the breath for 4 seconds.

  • Exhale slowly through your mouth for 6-8 seconds.


This slows down your heart rate, reduces the panic that often accompanies hot flushes, and helps your body cool down faster.


Practice:

Set aside a few minutes each day to practice deep breathing. Regular practice will make it easier to use this technique when a hot flush occurs.



4. Cultivate Gratitude with Positive Psychology


It might seem surprising, but focusing on positive emotions can actually help reduce the perception of hot flushes. Gratitude, a key practice in positive psychology, helps shift your focus from discomfort to appreciation, which lowers stress and anxiety. Less stress means fewer triggers for hot flushes.


Tip: Keep a Gratitude Journal

Start each morning or end each day by listing three things you're grateful for. These don’t have to be big things—they can be simple, like a delicious cup of tea or a kind word from a friend. Gratitude practices help redirect your focus, putting your mind in a calmer, more positive state, which can reduce the emotional triggers of hot flushes.


Practice:

  • Spend 5 minutes each day writing down what you’re thankful for.

  • When you feel stressed or sense a hot flush coming, take a moment to think of something positive in your life.



5. Stay Present: Mindfulness for Menopause


Mindfulness, a technique used in both CBT and positive psychology, teaches you to stay present and accept your experience without judgment. By staying in the moment, you can reduce the stress that often exacerbates hot flushes.


Tip: Practice Mindfulness Meditation

When a hot flush begins, rather than reacting with frustration or panic, try observing the sensations without judgment. Notice the warmth, the changes in your body, but refrain from labelling them as "good" or "bad." This can help lessen the emotional reaction and make the flush feel less overwhelming.


Practice:

  • Take a few moments each day to sit quietly and focus on your breathing.

  • When a flush starts, gently bring your attention to your breath and observe the sensations in your body without reacting to them.



6. Use Affirmations and Coping Statements to Build Resilience


Positive affirmations, rooted in both positive psychology and hypnotherapy, can help reduce the emotional impact of hot flushes by creating a sense of empowerment and control.


Tip: Create Cooling Affirmations and Coping Statements

Affirmations such as “I am calm, and I can handle this with ease,” or “My body knows how to stay cool and balanced,” can help you stay centred and reduce the anxiety that often accompanies hot flushes.


Practice:

  • Repeat your affirmation/coping statement in the morning or whenever you feel anxious about hot flushes.

  • Use it as a mental tool during a flush to shift your focus toward control and calmness.



Hot Flushes can be Controlled with the Right Techniques


Hot flushes are a natural part of menopause, but they don’t have to dominate your experience. By using tools from CBT, hypnotherapy, and positive psychology, you can reduce their intensity, regain control, and approach menopause with greater resilience and positivity.


Try incorporating these techniques into your daily routine to help you manage hot flushes more effectively and experience menopause in a calmer, more empowered way.


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