The skin...that makes sense
Every women will go through menopause. It’s normal and aging. Menopause doesn’t equal old. Coping skills this patient is using is denial because she is afraid of aging and the conditions that come with it. I would help your accept her condition by referring her to a therapist or someone to talk to. And give her articles about this condition to help her understand more. As well as running test to confirm everything and help her realize the reality of it.
A. energies, tastes, and affect
