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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Life should not feel that awful. Talk to your PCP about medication and get some recommendations for therapists who specialize in treating anxiety. Both have helped me tremendously.[/quote]

Thanks. Op here and I agree it’s anxiety/depression.  I guess my actual question is whether there are other options vs medication? I tried the medication route years ago and ending up bailing because the side effects sucked so much. And then insurance wouldn’t cover the one drug that seemed to help so I just gave up. I’ve seen therapists at various points, but I didn’t find them particularly helpful. Money is tight (and that’s one of the things I worry about) so I don’t have endless resources to find the right therapist, paying $250 a pop. So, while I have not ruled out going back to medication, I’m  also looking for other coping strategies. [/quote]

Anxiety/depression are a common symptom in perimenopause as hormones shift, and if you have a prior history it’s almost certain and often worse.

Yes, you can absolutely manage it without psych meds - I’ve been doing so for years. It takes concerted focus on the kind of healthy living that promotes brain health in general - anti inflammatory diet, avoid alcohol, limit sugar, get more than adequate sleep, move your body and work on strength, get sunlight early morning or use a lightbox to stimulate melatonin production naturally and improve sleep/mood, manage stress by mindfulness or other techniques because cortisol spikes are the enemy of positive mood.

Therapy or journaling or some other outlet for processing feelings and thoughts that lead to rumination. [/quote]

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