Naturopathic Medicine and The Connection Between Hormones, Nutrients and Mental Health

September 22, 2025

Anxiety and depression are among the most common health challenges in the modern world and their prevalence continues to rise. Millions of people struggle with persistent low mood, fatigue, irritability, or worry, often without clear explanations or lasting relief.1  While these conditions are influenced by many psychological and social factors, two of the most overlooked contributors are hormonal imbalances and nutrient deficiencies. 

Both play a critical role in mood regulation, stress resilience and cognitive health and disruptions in either system can intensify symptoms of anxiety and depression. From the perspective of naturopathic medicine, understanding these root causes is essential to building a comprehensive and sustainable plan for mental well-being.


The Overlooked Link Between Hormones, Nutrients and Mental Health

Hormones are chemical messengers that regulate essential functions such as energy production, sleep, mood and appetite. When these messengers fall out of balance, the impact on emotional well-being can be profound. A naturopathic doctor is trained to evaluate these connections, considering how stress, diet and lifestyle contribute to imbalances.

Cortisol, known as the stress hormone, is a central player. In short bursts, cortisol helps the body respond to challenges. But chronically elevated cortisol levels—often the result of poor sleep, chronic stress, or systemic inflammation—can impair serotonin production, increase inflammation in the brain and leave individuals feeling anxious or depressed.2

Estrogen also has a strong relationship with mood. It helps regulate serotonin and dopamine, neurotransmitters essential for feelings of calmness and motivation. Low estrogen levels, which commonly occur during perimenopause and menopause, are linked with depression, irritability and anxiety.3

Progesterone provides a natural calming effect on the brain. When progesterone is low, anxiety, irritability and sleep disturbances are common. Imbalances between estrogen and progesterone—often referred to as estrogen dominance—may worsen premenstrual mood swings or postnatal depression.

Thyroid hormones further illustrate the connection. Hypothyroidism, or underactive thyroid function, slows metabolism and energy production. Many patients with low thyroid function report fatigue, hopelessness and difficulty concentrating. Because thyroid dysfunction is more common in women, it is an important consideration in female mental health and is regularly evaluated in naturopathy.

Even when hormone balance is optimal, inadequate nutrition can still undermine emotional well-being. Several nutrients are essential for the synthesis of neurotransmitters and for regulating inflammation, both of which influence mental health. A naturopath often investigates nutritional status when patients present with anxiety or depression.


Nutrient Deficiencies and Their Impact on Mental Well-Being

Magnesium is sometimes referred to as the relaxation mineral. It supports over 300 biochemical reactions, including the production of GABA, a neurotransmitter that calms the nervous system.4  Deficiency is associated with anxiety, heightened stress responses and poor sleep. Leafy greens, nuts, seeds, legumes and avocados are rich sources, but many people require supplementation for therapeutic benefit.

B vitamins, especially B6, folate (B9) and B12, are critical for the production of serotonin, dopamine and other neurotransmitters. Deficiency in these vitamins can cause fatigue, irritability, brain fog and low mood. Because stress, medications and poor diet can quickly deplete B vitamin levels, supplementation is often necessary in those with chronic anxiety or depression.5

Omega-3 fatty acids, found in fatty fish and some plant sources, are structural components of brain cell membranes. They regulate inflammation and enhance neurotransmitter function. Low levels of omega-3s have been consistently linked to depression, poor concentration and heightened anxiety. Supplementation with fish oil or algae-based products has been shown in research to improve symptoms of depression and support cognitive function.6

Serotonin, sometimes called the “happy hormone,” is central to mood regulation. Adequate serotonin levels foster feelings of calmness and satisfaction, while low levels are linked with depression, anxiety, social withdrawal and even digestive concerns. Interestingly, about 95 percent of serotonin is produced in the gastrointestinal tract, underscoring the powerful connection between gut health and mental health—a connection that naturopathic medicine emphasizes.7

Symptoms of low serotonin include sleep disturbances, loss of appetite, difficulty concentrating, chronic unexplained pain and digestive issues such as irritable bowel syndrome. Because serotonin synthesis depends on the amino acid tryptophan, foods such as turkey, salmon, pumpkin seeds and tofu can help support its production. Healthy gut bacteria are also essential, making probiotic-rich foods and anti-inflammatory diets important for long-term mood stability.

Lifestyle and Natural Strategies for Mental Health Balance

Nutrient Dense Diet

Supports neurotransmitter production, stabilizes mood, improves energy.

Gut Health

Promotes serotonin production, reduces inflammation, enhances digestion.

Stress Management

Calms the nervous system, regulates cortisol, improves resilience.

Sleep Hygiene

Restores hormone balance, supports brain function, boosts mood.

Physical Activity

Enhances serotonin production, reduces depressive symptoms, supports cardiovascular health.

Increasing research shows that chronic inflammation is a significant factor in depression.8  Elevated levels of inflammatory markers such as C-reactive protein are commonly found in people with depressive symptoms. Over time, inflammation can impair brain function and may even contribute to neurodegenerative conditions. Chronic stress further compounds this process by altering cortisol rhythms and suppressing immune regulation.

Because of this, natural anti-inflammatory strategies—including diets rich in colorful vegetables, omega-3 fatty acids, green tea and spices such as turmeric—are valuable for supporting both mental and physical health. Many of these strategies are core to naturopathy’s holistic approach to prevention and treatment.


Lifestyle and Natural Strategies for Mental Health Balance

Supporting mental health through nutrition and hormonal balance involves several interconnected lifestyle strategies. A nutrient-dense diet that includes magnesium, B vitamins, omega-3 fatty acids and tryptophan-rich proteins lays the foundation for mood stability and neurotransmitter production. 

Equally important is maintaining gut health by incorporating probiotic foods such as kefir, sauerkraut and kombucha, along with a variety of anti-inflammatory vegetables. Stress management practices, including yoga, meditation, breathwork, or spending time in nature, help calm the nervous system and regulate cortisol levels. 

Prioritizing sleep is another essential factor, as seven to nine hours of deep rest each night is required for hormone regulation and optimal brain function. Regular physical activity, particularly steady-state aerobic exercise, has also been shown to enhance serotonin production and ease depressive symptoms. 

In some cases, supplementation may provide additional support, especially when guided by a naturopathic doctor. Magnesium, high-quality B vitamins, omega-3 fatty acids and adaptogenic herbs such as rhodiola and ashwagandha can be valuable tools when integrated into a personalized care plan.

Depression and anxiety rarely arise from a single cause. Instead, they reflect the interplay between psychological, physiological and environmental factors. While medications can provide relief for some, they are often insufficient on their own. Addressing hormonal health, correcting nutrient deficiencies, reducing inflammation and supporting the nervous system provide a more comprehensive and sustainable path to recovery.

FAQs 

Q1: How can hormones affect my mood and mental health?

A1: Hormones like cortisol, estrogen, progesterone and thyroid hormones regulate mood, energy and stress resilience. Imbalances can lead to anxiety, depression, fatigue and irritability.

Q2: Can nutrient deficiencies really cause anxiety or depression?

A2: Yes. Deficiencies in magnesium, B vitamins and omega-3 fatty acids are linked to poor neurotransmitter function, low mood and increased stress responses. Correcting these deficiencies can improve mental well-being.

Q3: What role does gut health play in mental health?

A3: About 95% of serotonin is produced in the gut. A healthy gut microbiome supports serotonin production and reduces inflammation, directly impacting mood and emotional balance.

Q4: How does naturopathic medicine approach anxiety and depression differently?

A4: Naturopathic doctors focus on root causes—such as hormonal imbalances, nutritional deficiencies, inflammation and lifestyle factors—rather than only treating symptoms with medication.

Q5: What natural strategies can improve mental health?

A5: A nutrient-dense diet, stress management techniques, quality sleep, regular exercise and gut-supporting foods can all help stabilize mood and support long-term resilience.

Q6: When should I see a naturopath for mental health concerns?

A6: If you’re struggling with fatigue, low mood, anxiety, or brain fog despite trying conventional approaches, a naturopath can help assess hormone and nutrient levels and create a personalized care plan.

Q7: Can supplements really make a difference for mood disorders?

A7: Yes, when guided by a naturopath. Supplements such as magnesium, B vitamins, omega-3 fatty acids and adaptogenic herbs (like rhodiola and ashwagandha) can be powerful tools to restore balance and support recovery.


Conclusion

Anxiety and depression are complex, but they are not without solutions. By paying attention to often-overlooked drivers such as hormones, nutrients, gut health and inflammation, individuals can make meaningful progress toward emotional resilience. Working with a naturopath or naturopathic doctor can help identify root causes and create a personalized plan that includes diet, lifestyle, supplementation and stress management.

If you are struggling with low mood, fatigue, or anxiety, it may be time to take a deeper look at your hormonal and nutritional health. Restoring balance in these areas through naturopathic medicine can provide a strong foundation for mental well-being and help you reclaim a sense of energy, clarity and joy in your daily life.

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Written By: Dr. Romi Raina ND
Call or Text: 905-426-9116
Email: info@aspirenaturalhealth.ca

About the Author

Dr. Romi Raina is a Toronto-based Naturopathic Doctor with nearly two decades of experience in holistic healthcare. Specializing in integrating natural therapies, he offers virtual consultations in dietary management, botanical medicine, and lifestyle counseling. Dr. Raina's unique approach combines scientific knowledge from his degrees in Life Sciences and Anthropology with insights from his service in the Canadian Armed Forces. As founder of Collaborative Education, he's committed to advancing naturopathic knowledge, embodying his philosophy that naturopathy helps patients thrive, not just survive.

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