Pamela jess, as far as I'm concerned menopause and anxiety go hand in hand. Sick of hearing about docs saying otherwise, don't even bother trying to think why you are anxious, fluctuating hormones are responsible. I have a good gp, when I was really feeling awful last year it was I who doubted peri menopause could have such a devastating effect I wanted to try cbt, I got cbt and frankly it served its purpose when the counsellor told me "this is your hormones not your thoughts", she helped me manage some of the symptoms, so not a total waste of time and I stopped trying to beat myself up wondering why the heck I was feeling so anxious.