Hurdity - I am 55 now and had my last period at 51. I didn't suffer any menopausal symptoms apart from being a bit more impatient and sometimes I would get hot at night, but nothing that I couldn't deal with by opening the window. To be honest I didn't really give the menopause much thought until last November when I woke up one morning feeling anxious, and it got worse from there. So therefore I'm not even convinced that my anxiety has anything to do with the menopause and it was my doctor who suggested it might be having some effect on me, especially with regards to the awful insomnia I started suffering from. That does seem to have improved on the HRT but because I started the HRT and the citalopram within weeks of each other I have no idea which one of them is helping.
Taz - Yes, I've been told the same thing. I'm scared to increase the dose because the start up effects were not pleasant, but I know that I need to do something if I want to feel better.