Dr. Alla Demutska , 'Perimenopausal Rage Isn't a Glitch. It's an Audit.' (Substack, 2026)

Tier 3: Supporting source (media, company, or community), never used alone for health claims
Publisher: Substack (Dr. Alla Demutska) · Published: August 23, 2026 · Accessed: August 23, 2026

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Claims this source supports

• Estrogen modulates serotonin/dopamine and the anterior cingulate cortex (emotional regulation, impulse control); as estrogen fluctuates, responses 'that used to come out modulated come out less modulated.'
• The neurobiology explains the intensification, not the content: women in their 40s/50s have spent decades managing their own emotions so workplaces, partnerships, and parenting run smoothly , and the managed frustration 'goes into storage.'
• Perimenopause drops suppression capacity; the anger carries information about what has not been acknowledged, 'sometimes for decades.' Clinical stance: treat rage as signal to examine, not a symptom to manage away.
• Draws on Arlie Hochschild's emotion-work literature: emotional labour performed without acknowledgment accrues.