I also suffer from some of the anxiety that you speak of. I am just starting what I believe is peri so this is all extremely new to me. Whacko period, spotting, the pain you speak of, sweating, dizziness. All those lovely symptoms. In retrospect, last year I was feeling an extraordinary amount of anxiety. The doctor did a stress test and such and put me on Wellbutrin. I've bee on that for a little under a year. It's been very helpful with the anxiety but as of late, I'm not sure it's working anymore. It was always just enough to take the edge off me without feeling like it was altering my mood/personality which is why I liked this anti-depressant. However, since starting with these other symptoms, i've noticed my moods swings are horrible. I'm understand that women's bodies were meant to go thru menopause and aside from all the symptoms, it's a natural process and I keep wondering if I should interfere with it at all but it's a cruel world and I'm not sure I can do this without the help of something. Once I find out for certain I'm in peri as my doctor appt. is in April, I'm going to talk to her about what types of things will work to help with the anxiety. Mine is awful again. Thank goodness for this website....I happened to stumble on it and really do find comfort in these postings