GYpsyRose I entirely AGREE with you. I am not a doctor, but someone with premature menopause and I have done a lot of research and thinking about this issue. I've been battling random anxiety - it's not characteristic for me normally - and it's been plaguing me more and more since 7 years ago. When I look back, I really DO believe it's menopausal and hormone related. It's never been too bad until very recently, when I've had some real surges of adrenalin and panic etc . ANyway, after a lot of thought and discussions with various people I think my HRT may well need adjusting and I think I may be low on oestrogen. If you look on some websites, panic and anxiety often crop up as menopausal symptoms, often associated with vasomotor symptoms. ANd because women don't immediately know what's going on, they get even more panicked and upset and so the cycle goes round and round and we feel worse and worse. ANd I agree that doctors will often see just the 'panic' part, and think of antidepressants, rather than looking at the whole context and the whole woman, and see that in some ways it's a very 'physical' change in our bodies that is causing this, and we are not 'crazy' and 'weak'.
ANd lots of women on this forum talk of anxiety which normally they'd never experienced, which was new for them, and is now a real challenge.
ANyway, some anti depressants can worsen anxiety. And I wonder, if anxiety is hormone related, surely taking an antidepressant won't necessarily stop the panic, since the hormones that are causing it are not tackled. It's like putting a small sticking plaster over a massive wound - it might mask it for a bit, but the problem is still there under the surface.