'It shut all the joy down.' Menopause can take a serious toll on mental health but many women don't see it coming

When Sandra Ingram found herself crying uncontrollably at the dinner table, she knew something was wrong, she just didn’t think it was menopause. “We would be eating and I would just burst into tears for no reason, and would have to run,” says Ingram. “I didn’t want my kids to see that.”

This was just one in a series of mood changes Ingram began noticing in her mid-forties, but brushed off. “I just kept saying, ‘What do I have to complain about? Snap out of it, there’s nothing wrong.’”