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Counselling for PCOS

Polycystic Ovary Syndrome (PCOS) is a common hormonal condition that affects approximately 1 in 10 women of reproductive age. While it is often associated with physical symptoms like irregular periods, weight changes, and acne, its emotional and psychological impacts are just as profound—but frequently overlooked.

At Horizon Counselling in Plymouth, we recognise the connection between hormonal health and mental well-being. Our counsellors offer a supportive space for women to address the emotional challenges that often accompany PCOS, from anxiety and depression to body image concerns and relationship difficulties.

What is PCOS?

PCOS is a hormonal disorder that affects ovarian function. It is typically identified by:
– Irregular or absent periods
– Higher levels of androgens (male hormones), which may cause acne, excessive hair growth, or hair thinning
– Polycystic ovaries, where eggs are surrounded by fluid-filled follicles

Symptoms vary widely. Some women are diagnosed after fertility struggles, while others may experience multiple signs such as:
– Persistent acne or oily skin
– Excess facial or body hair
– Weight gain or difficulty losing weight
– Fatigue and low energy
– Insulin resistance, increasing the risk of Type 2 diabetes

The Psychological Effects of PCOS

Beyond physical symptoms, PCOS can significantly impact mental health. Women living with this condition are more likely to experience:

  1. Anxiety and Depression
    Hormonal imbalances, fertility concerns, and visible symptoms like acne or hair growth can contribute to low mood, persistent worry, and feelings of sadness.
  2. Body Image Issues and Low Self-Esteem
    Weight gain, hair growth, and skin issues can lead to embarrassment or social withdrawal. These symptoms often impact confidence, which in turn affects relationships and everyday life.
  3. Mood Swings and Irritability
    PCOS often causes emotional ups and downs due to fluctuating hormones. Many women feel overwhelmed by stress, low energy, or unexplained emotional shifts.
  4. Sleep and Fatigue
    Sleep disturbances are common, whether from hormonal disruption or co-occurring conditions such as anxiety. Poor sleep often worsens other PCOS symptoms and contributes to low mood.
  5. Disordered Eating Patterns
    Women with PCOS may struggle with binge eating, emotional eating, or restrictive behaviours, especially when trying to manage their weight or appearance.

How Counselling Supports Mental Health with PCOS

PCOS is not just a medical condition – it affects your identity, relationships, and sense of self. Counselling can help you navigate this complex emotional landscape through:

  1. Building Self-Compassion
    Therapy helps women let go of guilt, perfectionism, or shame around their body or health. Building self-compassion is key to managing stress and maintaining well-being.
  2. Addressing Anxiety and Low Mood
    Cognitive Behavioural Therapy (CBT) and other techniques can help you identify unhelpful thinking patterns, reduce anxiety, and create emotional balance.
  3. Improving Body Image
    Counselling can help shift the focus from appearance to overall health and self-worth. This shift promotes healthier habits and a more positive relationship with your body.
  4. Navigating Relationship Challenges
    Whether with partners, family, or friends, PCOS can affect how women relate to others. Therapy provides tools for communication and emotional expression.
  5. Managing Lifestyle Pressure
    Social pressure to “fix” or “control” symptoms can be exhausting. Counselling helps women prioritise what matters most and set realistic, sustainable goals.

A Client’s Experience
“I highly recommend Horizon for the support given to me over the past few months. It has been amazing! Natasha especially has given me the confidence and support in coping with a family bereavement. I feel so much more positive in many aspects of my life.”

Complementary Strategies for PCOS Well-Being

  1. Medical Treatment
    Discussing medication options with a GP or endocrinologist can help regulate hormone levels and manage physical symptoms.
  2. Lifestyle Support
    – Regular physical activity improves mood and helps manage insulin resistance
    – A balanced diet supports energy levels and hormone function
  3. Mindfulness and Stress Reduction
    Practices like yoga, breathing exercises, and guided meditation can support emotional regulation and relaxation.
  4. Support Networks
    Joining a PCOS support group (either locally or online) can reduce feelings of isolation and provide encouragement from others who understand your experience.

Get Support with Horizon Counselling

You do not have to manage the emotional challenges of PCOS alone. Horizon Counselling offers a safe, welcoming space for women across Plymouth, Saltash, Tavistock, Ivybridge, and the wider Devon area. Call 01752 221119 or email info@horizonplymouth.co.uk to explore how counselling can help. Alternatively, book your PCOS counselling in Plymouth now.

We’re here to help you build confidence, emotional resilience, and a better quality of life.

About the Author – Stacey Morrish

Stacey Morrish is a qualified and experienced counsellor at Horizon Counselling in Plymouth. Known for her warm, down-to-earth approach, Stacey creates a supportive and compassionate space where clients can explore their thoughts and emotions at their own pace.

Stacey works with individuals facing a wide range of challenges, including anxiety, low self-esteem, relationship difficulties, bereavement, and trauma. She brings empathy, insight, and gentle encouragement to her sessions, helping clients feel truly heard and understood. With a person-centred ethos at the core of her work, Stacey empowers people to build resilience, increase self-awareness, and take positive steps towards emotional well-being.

Whether working with adults or young people, Stacey is committed to providing thoughtful, non-judgemental support in a way that meets each person exactly where they are.