Women's Health

Coping with the mental health challenges of endometriosis

Woman sitting at home, feeling down.

03/24/2025

By Carolyn Antonion, Clinical Care Coordinator-BH LCSW


Endometriosis is more than just a physical condition — it can take a serious toll on mental health. The chronic pain, fatigue and uncertainty that come with endometriosis can contribute to anxiety, depression and emotional distress. However, managing the mental health challenges of endometriosis is just as important as addressing the physical symptoms.


Here are some ways you can support your emotional well-being while living with endometriosis.


1. Acknowledge your feelings

Living with a chronic condition can be frustrating, exhausting and even isolating. It’s important to give yourself permission to grieve the impact endometriosis has on your life. You may feel anger, sadness or resentment, and all these emotions are valid. Recognizing and accepting your feelings is the first step toward mental and emotional healing.


Related Content: Understanding endometriosis

2. Seek professional support

A therapist — especially one familiar with chronic illness — can be a valuable resource in helping you navigate the emotional challenges of endometriosis. Cognitive-behavioral therapy (CBT) can help manage anxiety and depression, while pain-focused therapy techniques can assist in reframing thoughts around chronic pain. Support groups, both online and in person, can also offer connection and reassurance that you’re not alone.


Learn more about outpatient behavioral health services at Nuvance Health

3. Practice mind-body techniques

Stress management techniques can help alleviate some of the mental strain of living with endometriosis. Consider incorporating:

  • Mindfulness and meditation to reduce stress and increase emotional resilience
  • Breathing exercises to manage pain-related anxiety
  • Yoga or gentle movement to release tension and support mental well-being

Related Content: Pelvic floor physical therapy for endometriosis


4. Prioritize self-compassion

Many people with endometriosis struggle with guilt over not being as productive as they’d like or needing to cancel plans. Practicing self-compassion means treating yourself with kindness rather than self-criticism. Remember, your worth isn’t tied to how much you can do on a given day.


5. Find a support system

Endometriosis can feel isolating, but you don’t have to go through it alone. Lean on trusted friends and family members, and don’t be afraid to express your needs. Connecting with others who understand — whether through social media, support groups or advocacy organizations — can make a big difference.


6. Set realistic expectations

You might not always be able to function at full capacity, and that’s OK. Setting realistic goals and pacing yourself can help prevent burnout. Prioritizing energy for the most important activities while allowing for rest and recovery can make daily life more manageable.


7. Advocate for yourself

Living with endometriosis often requires navigating a complicated medical system. Advocating for yourself—by seeking second opinions, tracking symptoms or exploring better treatment options—can help you feel empowered and regain a sense of control.


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8. Consider medication or alternative therapies

In some cases, medication for anxiety or depression may be beneficial. Speak with your doctor about options that may work for you. Alternative therapies like acupuncture, massage or herbal remedies may also provide relief for some people.


The bottom line: 
Managing endometriosis isn’t just about treating physical symptoms — it’s about taking care of your mental health, too. By seeking support, practicing self-care and prioritizing emotional well-being, you can build resilience and improve your overall quality of life.


Learn more about gynecology at Nuvance Health

Carolyn Antonion sees patients at New Milford Hospital’s Women's Health & Wellness Center.