Perimenopausal depression is a distinct subtype of major depression with a hormonal aetiology. Accurate diagnosis requires awareness of symptom patterns, history, the use of tools such as the Meno-D scale and possibly a diagnostic trial of menopause hormone therapy (MHT). Treatment is best tailored to the individual and includes lifestyle support, MHT, trauma-informed psychotherapy and psychotropic medications when appropriate. General practitioners play a critical part in diagnosis, management and ongoing support.
Kulkarni et al. (Wed,) studied this question.
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