oceandreams-I am on bioidentical hormones for hot flashes and it works like a charm. But it doesn't seem to affect the emotional part. I take a antidepressant called Celexa that helps tremendously, and an anti-anxiety called Ativan as needed when the anxiety gets to me. These drugs in combination with the hormones help me to feel pretty much normal again. Both of the prescriptions for the emotional issues really calm me down so I sleep well most of the time. When I can get a good night's sleep it makes all the difference in how I feel overall. It's worth a try to ask your doctor about emotional support during this time also. Good Luck