Bridget Hager Bridget Hager

I Think I Might Have PCOS…Now What?

If you’re reading this and thinking, “My periods are irregular, my moods feel unpredictable, or my body is changing in ways I don’t expect — could it be PCOS?” — first, take a deep breath. You’re not alone, and having PCOS doesn’t mean something is wrong with you.

As a therapist, I see how PCOS doesn’t just affect your body — it affects your mind, emotions, and sense of self. Understanding this connection is the first step toward feeling supported, grounded, and empowered.

1. PCOS is About More Than Periods

PCOS is a hormonal condition, but it shows up in more than cycles:

  • Mood and emotions: Research shows people with PCOS may notice shifts in mood, especially premenstrually. Anxiety, low mood, or irritability may feel intensified.

  • Body changes: Acne, hair growth, or weight changes can affect self-esteem and body image.

  • Life impact: Irregular cycles or fertility concerns can also impact identity and self-worth.

Understanding that these experiences are not “just in your head” can be a huge relief.

2. Track Your Experiences

Even if your periods are irregular, tracking your:

  • Mood changes

  • Energy levels

  • Physical symptoms

…can help you and your healthcare provider notice patterns and make informed decisions. I often suggest clients keep a small daily log — not for judgment, but for clarity.

3. Seek Support from a Qualified Provider

A diagnosis can feel scary, but connecting with a doctor who understands PCOS — OB/GYN, endocrinologist, or PCOS-aware primary care provider — is key. They can:

  • Explain test results

  • Discuss treatment options

  • Coordinate care that considers both physical and mental health

4. Mental Health is a Priority

PCOS can interact with anxiety, depression, and stress. As a therapist, I encourage clients to explore:

  • Talk therapy to process mood changes or body image concerns

  • Trauma-informed approaches if past experiences make symptom management harder

  • Peer or support groups for connection and validation

5. Lifestyle Supports Can Help, Too

Small, compassionate steps can make a difference:

  • Gentle movement you actually enjoy

  • Balanced nutrition to support hormone stability

  • Mindfulness, journaling, or breathwork to manage stress

6. Compassion and Self-Kindness

PCOS can feel isolating, but your experience is valid. Feeling frustrated, anxious, or uncertain doesn’t mean you’re failing, it means you’re human. With awareness, support, and self-compassion, you can navigate PCOS while caring for your psychical and mental health.

If you think you may have PCOS, talking to an informed psychotherapist can be a great place to start. Please fill out a contact form if you are interested in a free consultation. In the meantime, I linked some podcasts that might be helpful.

https://open.spotify.com/episode/6fYDej98I200I8fcnOiyup?si=dc36d3b0b36c4ef7

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