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Menopause · 6 min read
Perimenopause vs anxiety — the overlap most doctors miss
New-onset anxiety in your 40s often isn't a mental health issue in isolation — it's hormonal. Here's how to tell the difference.
By Dr. S. Verma · May 2026
A rising number of women are prescribed SSRIs in their 40s when the underlying driver is hormonal, not psychiatric.
The tell-tale pattern
Anxiety that clusters premenstrually, worsens with disrupted sleep and doesn't respond to typical anxiety strategies is often perimenopausal.
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