First steps
- PHQ-9 + GAD-7 screens
- TSH (thyroid mimic)
- B12 + vitamin D
- Therapy referral
Treatment options
- HRT (if VMS + mood overlap)
- SSRI / SNRI
- CBT-meno
- Aerobic exercise (proven antidepressant)
When to see doctor
Symptoms ≥2 weeks affecting daily function. Crisis: 988 lifeline.
Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.