I wanted a cure yesterday: so depressed at times that I crawled around the house ![Cry :'(](https://www.menopausematters.co.uk/forum/Smileys/extended/cry.gif)
Hormones can certainly alter our moods. The National Association for Pre-menstrual Syndrome [NAPS], UK, gave me lots of good advice, mainly about eating every 3 hours to stop those awful gut surges when the body needs energy which 4me = panic attacks.
![Cry :'(](https://www.menopausematters.co.uk/forum/Smileys/extended/cry.gif)
I’m so sorry *many hugs*. Before I started the Mirtazapine, I had increased the Amitriptyline, & then had to reverse course bc the constipation got so bad & my depression significantly worsened as a result (which is a good sign I think, means the ADs are working). I’ve been stooped over & rocking back & forth for the last three days. The depression & anxiety sort of bear down on me so I can’t stand up straight. I have a guy coming to help me with the garden tomorrow & I’ll have to hold myself up like a normal person
![Undecided :-\](https://www.menopausematters.co.uk/forum/Smileys/extended/undecided.gif)
*takes deep breaths*. I really was in the worst position for tackling perimenopause when it started, I was already struggling with depression, anxiety, chronic insomnia at a level that I thought couldn’t get worse
![Cry :'(](https://www.menopausematters.co.uk/forum/Smileys/extended/cry.gif)
Re NAPS, gosh you have some terrific resources in the UK, that looks excellent (reading thru their guidelines)