Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach that looks at the connection between thoughts, feelings and behaviours. It doesn't require you to talk about your past — it focuses on practical tools you can use right now to change how you respond to difficult experiences.

CBT for hot flushes and night sweats is a specific, structured programme — not general CBT or counselling. It is based on the Hunter and Smith model, developed through research with menopausal women. The programme works by addressing the thoughts and behaviours that can make hot flushes more frequent and more distressing — teaching your mind and body to respond differently, so the flushes have less impact on your daily life.

This approach is recommended by NICE (guideline NG23) for the management of menopausal symptoms. The evidence comes from NHS randomised controlled trials. Fiona delivers the programme following British Menopause Society training.

The programme runs over 6 structured sessions, covering: understanding how hot flushes work; the role of thoughts, stress and anxiety; behavioural strategies for managing flushes; sleep, mood and wellbeing; and building a long-term self-management plan. Sessions are available individually (1:1) and in small groups.