Hi daisie, I too suffer with the dreaded anxiety, since peri menopause set in. It's not easy dealing with it, I'm not taking hrt, I'm on a trycylic anti depressant which has helped but I feel that in the last 8 months or so they are not as effective, Been on them around 2 1/2 years now so maybe they lose their efficacy over time. I find the anxiety is up and down sometimes worse than others with no obvious outside stressors therefore it seems likely hormone surges etc can bring the anxiety on again, which is depressing. I do have low dose valium to take when it gets unbearable, if I didn't have asthma I'd defo give beta blockers a try. I'm due for a doctors review soon so I guess she may change my anti depressant, I'm limited though as I didn't do well with newer ssri anti depressants, they actually made my stomach bleed, which I think is rare but can happen.
Unfortunately anxiety does seem to be a common symptom during the menopause transition and this forum is such a help as not many women seem to discuss this aspect openely. I think I could write a book on all the symptoms I've had but it does help when you accept it as part of the menopause, as I type this my heart is flip flopping which I've also had on and off for the last couple of years. Had the 24 hr monitors, heart scan etc, all fine - still bloomin annoying though. Keep posting on here, it does help, I dip in and out and don't post too often now but just reading other posts helps me x