Perimenopause can affect mood years before periods stop.
Women often notice new anxiety, irritability, sleep problems, or low mood without obvious external triggers.
These changes are biologically driven and real.
Medication response can change during this phase, requiring careful adjustment and monitoring.
Treatment focuses on stabilization and minimizing unnecessary side effects.
Midlife mood changes often overlap with earlier anxiety or depression. Treatment evolves as the body changes.
Conditions we treat
Perimenopause Mood Changes
Have mood or anxiety symptoms appeared or worsened in midlife?
Has sleep become more disrupted than before?
Do symptoms fluctuate unpredictably?
Do medications seem to work differently now?
Do you feel dismissed when raising these concerns?
If you answered yes to even one of these, medication may be one part of a thoughtful treatment plan.
This is not a diagnosis. It’s a way to notice patterns that may be worth discussing.