Juggling demanding careers, family responsibilities, and the relentless pressure to keep it all together, many women find themselves running on empty. On the outside, everything looks fine, but inside: exhaustion, mood changes, restless sleep, and unexplained weight shifts tell a different story. Even with “normal” lab results, something still feels off.
But what if burnout isn’t just stress or age? What if it’s your body’s way of signaling that your hormones and mental health are out of balance?
In this episode of Sofia Unfiltered, we sat down with Dr. Jihan Ansari, a double board-certified physician in family and lifestyle medicine, to explore the hidden burnout crisis affecting women today. She shares why women are more vulnerable than ever, how stress and hormones shape every part of health, and the lifestyle strategies that can help restore balance, energy, and peace of mind.Everywhere you look, women are juggling more than ever: demanding careers, caregiving roles, household responsibilities, and the pressure to look, feel, and perform at their best. On paper, many women appear to be doing it all. But behind the scenes, exhaustion, anxiety, hormonal changes, and silent burnout are quietly eroding health and quality of life.
The truth? Feeling constantly drained, moody, or “not yourself” isn’t just part of being a modern woman. It’s not normal, and it’s not something to simply push through. These symptoms are signals from the body that something deeper is happening.
Dr. Jihan Ansari, a double board-certified physician in family medicine and lifestyle medicine, is helping women decode those signals. With her unique approach, she blends traditional medical training with lifestyle-based strategies to get to the root of burnout, hormone imbalance, and mental health struggles.
In this blog, we’ll explore:
- Why women are more burned out than ever.
- How the mental load shows up in the body and hormones.
- The Stress-Hormone Connection: Why Your Sleep, Mood, Weight, and Focus Are Out of Balance.
- The role of lifestyle medicine in restoring balance.
- What women need to know about hormones in their 30s, 40s, and 50s.
- Practical tips anyone can start today for more energy, better sleep, and improved mental health.
- Hormone Myths: What’s True, What’s Not, and What You Really Need to Know.
Burnout isn’t simply “work stress.” The World Health Organization frames it as a syndrome caused by chronic stress that hasn’t been successfully managed and marked by emotional exhaustion, reduced effectiveness, and a sense of overload. For women, burnout is often amplified by the mental load (more on that below), hormonal shifts across the decades, and cultural expectations to “keep it all together.”
Many women recognize this cycle: you’re tired but can’t sleep, overwhelmed but keep pushing, irritable without knowing why. Friends, family, and even doctors may dismiss it as “just stress” or “part of aging,” but the deeper story is more complex.
Burnout usually involves multiple overlapping factors:
According to Dr. Ansari, many women normalize these feelings, but over time, chronic burnout can lead to more serious health consequences: weight changes, anxiety, depression, insulin resistance, and even cardiovascular risks.
Start by tracking two weeks of sleep, energy, mood, cycle, and stressors. Patterns often reveal where small changes can have a big impact. Working with a Health Coach session can help you turn those observations into a simple, actionable plan to start reclaiming balance and energy.
What is the invisible “mental load” and how does it affect our health?
The “mental load” is the invisible, ongoing work of managing life, keeping track of schedules, remembering tasks, planning meals, and coordinating responsibilities at home and work. While it often goes unnoticed, this constant cognitive effort takes a real toll on energy, mood, sleep, and hormones.
Healthcare and wellness conversations frequently focus on physical symptoms or lab results. But the mental load is largely invisible, even though it drives many of the issues women experience, including burnout, hormone imbalance, and chronic fatigue.
Dr. Ansari emphasizes that acknowledging the mental load is not about doing more; it’s about recognizing the hidden stress and creating intentional space for rest, recovery, and support. Working with a Health Coach session can help you identify where the mental load is heaviest and develop a plan to lighten it, so your mind and body can recover.
Stress and hormones are deeply connected, and when either is out of balance, it can affect nearly every aspect of daily life. Chronic stress, hormonal fluctuations, and mental overload create a cycle that impacts sleep, mood, weight, and cognitive function. Understanding these connections helps you take actionable steps to regain balance.
Sleep
Cortisol, the body’s stress hormone, follows a natural daily rhythm, rising in the morning and falling at night. Chronic stress or mental overload keeps cortisol elevated, making it hard to fall asleep or stay asleep. Hormonal shifts in perimenopause, menopause, or thyroid changes can further disrupt sleep, leading to early waking, night sweats, or restless nights.
Actionable tips:
Mood
Fluctuating hormones like estrogen and progesterone influence serotonin and dopamine, the brain’s “feel-good” chemicals. Stress amplifies these fluctuations, leading to irritability, anxiety, or low motivation. Over time, chronic hormonal imbalance can contribute to depressive symptoms.
Actionable tips:
Weight
Cortisol spikes from chronic stress can increase appetite, promote fat storage around the midsection, and slow metabolism. Hormonal shifts, particularly in thyroid and reproductive hormones, can further influence weight and body composition.
Actionable tips:
Focus and Cognitive Function
Stress and hormonal imbalances affect neurotransmitters, blood sugar, and sleep, all of which impact attention, memory, and mental clarity. Feeling “foggy” or struggling to concentrate is often a sign that the body and brain are under persistent stress.
Actionable tips:
When stress and hormones are out of balance, these areas feed into each other: poor sleep worsens mood, mood affects focus, and both can influence weight. Addressing all these factors together through lifestyle strategies is the most effective way to regain balance, energy, and clarity.
Can burnout be treated holistically? What actually works beyond quick fixes?
Yes. That’s where lifestyle medicine shines. Dr. Ansari’s framework centers on six pillars. Start with one or two pillars, then layer in based on your schedule and bandwidth.
Get help: map meals with Nutritionists or a supportive plan from Health Coaches.
Support: build routines with Fitness Experts or Yoga Instructors.
Support: coaches on Health Coaches and mind-body pros on Yoga Instructors.
Support: Therapists, life coaches, and Energy Healers for nervous system balance.
Support: join classes via Fitness Experts or group offerings from Therapists.
Support: evidence-based tools in Guides & Products.
When most people think of medicine, they picture prescriptions, lab tests, and procedures. Lifestyle medicine flips that model. Instead of only treating symptoms after they appear, it focuses on prevention, root causes, and everyday choices that support your body and mind. For women dealing with burnout, hormonal changes, or mental health challenges, this approach can be transformative.
Lifestyle medicine is evidence-based, meaning it draws on research-backed strategies to improve energy, mood, sleep, hormone balance, and overall health. Rather than a quick fix or one-size-fits-all solution, it looks at the whole person, your habits, stress load, relationships, movement, and environment.
Dr. Jihan Ansari often explains it like this: think of your body as a symphony. Stress, poor sleep, and inflammation are like instruments playing out of tune. Lifestyle medicine helps you retune each part: your nutrition, movement, sleep, stress response, and relationships, so the whole system can harmonize.
The beauty of lifestyle medicine is that even small, consistent changes compound. A single habit, like adding a 10-minute morning walk or switching to a protein-rich breakfast, can ripple through sleep, energy, mood, and hormonal health.
For women experiencing mental load, burnout, or hormone shifts, lifestyle medicine isn’t just an option; it’s a foundational framework for reclaiming energy, balance, and vitality.
Ready to start? Even one pillar implemented consistently—nutrition, movement, or stress management—can be a game-changer. For personalized guidance, explore Sofia Health’s Health Coaches, Nutritionists, and Fitness Experts to design a plan that fits your life.
Hormones are often called the body’s chemical messengers, but for many women, they feel more like mysterious saboteurs: affecting mood, energy, weight, and sleep in ways that can feel unpredictable. The truth is, your hormones are constantly shifting, and understanding what’s happening in each stage of life can help you anticipate changes, prevent burnout, and support your well-being.
Think of your hormones as a symphony. In your 20s and 30s, the instruments are tuned and played together. As you age, some sections may slow, speed up, or change pitch. The goal isn’t to “fix” your hormones; it’s to tune them with lifestyle, awareness, and support so the music feels harmonious.
Your 30s are often the decade of juggling career growth, family responsibilities, and personal goals. Even small imbalances in thyroid function, cortisol, or reproductive hormones can create noticeable symptoms.
Common signs in your 30s:
What helps:
Perimenopause, the years leading up to menopause, can begin in the early 40s or even late 30s. Hormone fluctuations become more pronounced, particularly estrogen and progesterone, which can impact mood, sleep, and metabolism.
Common experiences:
Practical strategies:
Menopause is officially diagnosed after 12 consecutive months without a period, usually occurring in the early 50s. Hormone levels, especially estrogen and progesterone, drop significantly, which can affect bone health, cardiovascular function, sleep, mood, and weight distribution.
What to expect:
Supporting your hormones in this stage:
Hormones aren’t just about periods or menopause; they influence energy, mood, sleep, metabolism, and mental clarity at every stage of life. Taking proactive steps can help you feel steadier, reduce overwhelm, and navigate life’s transitions with more ease.
Proactive hormone care isn’t about perfection, it’s about small, consistent steps that add up over time. By tuning in to your body, optimizing daily habits, and seeking support when needed, you can maintain balance, energy, and clarity through every stage of life.
Hormones can feel mysterious, but there’s a lot of misinformation floating around that keeps women stuck feeling frustrated, exhausted, or “off.” Let’s break down some of the most common myths and replace them with practical, evidence-based insights.
Myth 1: Feeling tired or moody is just part of being a woman.
Reality: Chronic fatigue, irritability, or low motivation is not a normal baseline. These are signals your body is under stress, your hormones are out of balance, or your lifestyle habits aren’t supporting your health. Recognizing these as red flags is the first step to getting back on track.
Myth 2: Hormonal issues only show up during menopause.
Reality: Hormonal shifts begin long before menopause. From your 20s onward, stress, sleep deprivation, nutrition, and mental load can all influence estrogen, progesterone, cortisol, and thyroid function. Early awareness and intervention can prevent more severe symptoms later.
Myth 3: You can “fix” hormones with a single supplement or pill.
Reality: Quick fixes rarely address root causes. True balance comes from a combination of nutrition, movement, sleep, stress management, and targeted clinical guidance. Supplements can support health, but they work best when paired with sustainable lifestyle habits.
Myth 4: Weight gain is inevitable with age.
Reality: While metabolism slows slightly as we age, weight changes are usually a response to diet, activity, stress, and sleep patterns. Hormones play a role, but lifestyle adjustments, like prioritizing protein, resistance training, and balanced meals, can make a significant difference.
Myth 5: Mental health struggles are separate from hormones.
Reality: Mood, anxiety, and depression are deeply intertwined with hormonal balance. Cortisol from chronic stress, fluctuating estrogen and progesterone, and poor sleep all influence brain chemistry. Addressing hormones holistically can improve both mental and physical well-being.
Myth 6: You have to completely overhaul your lifestyle to see results.
Reality: Small, consistent changes often create a bigger impact than drastic overhauls. Adding a 10-minute walk, improving your sleep routine, or swapping processed snacks for nutrient-rich foods can shift energy, mood, and hormone balance over time.
Myth 7: Labs tell the whole story.
Reality: Lab tests are helpful, but symptoms, lifestyle factors, and mental load give a fuller picture. Hormone readings can fluctuate daily, and what’s “normal” on paper might not reflect how you actually feel. Clinical context and personalized guidance matter most.
How to Apply This Myth-Busting in Real Life:
By understanding the truth behind these myths, women can make informed choices and focus on strategies that actually improve energy, mood, and hormone health. For guided support, explore Sofia Health Nutritionists and Health Coaches to create a tailored plan for your life stage.
Burnout isn’t just “in your head”; it affects your body, your hormones, and your daily rhythms. Too often, women’s symptoms of fatigue, mood swings, and imbalance have been minimized or dismissed. But with the right support, you can move beyond survival mode into a season of resilience, vitality, and renewed energy.
At Sofia Health, we connect you with expert practitioners who understand the unique challenges women face. From hormonal health and stress management to nutrition, movement, and emotional well-being, you’ll find personalized solutions to help you feel balanced and in control again. You can also explore the Sofia Marketplace for services, classes, and products designed to support your wellness at every stage of life.
Check out the full episode of the Sofia Unfiltered podcast, “The Hidden Burnout Crisis: Hormones, Stress, and the Mental Load No One Talks About”, where Dr. Jihan Ansari shares why burnout shows up in women’s bodies, how hormones play a role, and what steps you can take today to reclaim your energy. Available now on Apple Podcasts and Spotify.
We’re here to help you thrive physically, mentally, emotionally, and spiritually. Whether through one-on-one sessions, group classes, or on-demand expert content, Sofia Health provides the tools you need to create a life that feels balanced and sustainable. Plus, with Sofia Prime, you can access both live classes and an extensive on-demand video library, featuring expert-led content in wellness, nutrition, fitness, and meditation.
Start your two-week trial today and discover the difference that dedication and expert help can make.
Frequently Asked Questions About Women's Health, Hormones, and Burnout
Exhaustion often comes from more than just lack of sleep; it can signal chronic stress, hormonal imbalance, or the mental load. Cortisol, your stress hormone, can stay elevated, leaving you tired yet restless. Tracking energy, sleep, and habits helps identify patterns. Lifestyle strategies like sleep routines, stress management, and movement often improve energy more effectively than simply sleeping longer.
Symptoms like fatigue, mood changes, or irregular cycles can stem from stress, but persistent or worsening signs may indicate an underlying condition. Red flags include unexplained weight changes, severe mood swings, sleep that doesn’t refresh, or consistent digestive issues. A doctor trained in family or lifestyle medicine can assess labs, review symptoms, and distinguish stress-related changes from hormonal or metabolic concerns.
The mental load is the invisible work women often carry, remembering schedules, managing family and work responsibilities, and planning logistics. This constant cognitive effort raises cortisol, disrupts sleep, affects hormones, and impacts mood and metabolism. Reducing mental load through delegation, mindfulness, and structured planning, alongside lifestyle strategies, helps protect health.
Yes! Hormones respond strongly to nutrition, movement, stress management, sleep, and social connection. Balanced meals stabilize insulin, consistent movement supports metabolism and estrogen balance, and stress reduction lowers cortisol. Even small, consistent lifestyle adjustments can have measurable effects over time.
Key labs often include thyroid function, vitamin D, iron, cortisol patterns, and reproductive hormones. Depending on your symptoms, additional testing, like blood sugar, lipid panels, or inflammatory markers, can help identify root causes. A personalized approach ensures testing is meaningful and tailored to your life stage and symptoms.
Some changes are expected, but persistent fatigue, mood swings, hot flashes, or weight changes are not things you have to “just live with.” Early lifestyle adjustments, symptom tracking, and guidance from a knowledgeable clinician can prevent progression and improve quality of life.
Chronic stress elevates cortisol, which interferes with reproductive hormones, thyroid function, sleep, and metabolism. Over time, this can lead to fatigue, mood changes, and weight fluctuations. Managing stress through therapy, meditation, breathwork, or gentle movement helps restore hormonal balance.
Lifestyle changes create gradual, compounding improvements. Some effects, like better sleep or improved mood, may be noticeable within a few weeks. Metabolic changes, hormone stabilization, or weight regulation may take 2–3 months or longer. The key is consistency, not perfection, and small steps often create lasting change.
Supplements can support health, but are most effective when paired with nutrition, movement, sleep, and stress management. Examples include vitamin D for bone and immune health, magnesium for sleep and stress, and omega-3s for inflammation. Personalized guidance ensures you’re addressing actual deficiencies rather than over-supplementing.
Start small with one pillar of lifestyle medicine:
Working with Health Coaches, Nutritionists, or Fitness Experts can help create a tailored plan that fits your life. Even small, consistent habits can significantly improve energy, mood, and hormone balance over time.
Disclaimer: The Sofia Unfiltered Podcast by Sofia Health is for general informational and entertainment purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have. For any health concerns, users should seek the assistance of their healthcare professionals.