I treat Anxiety, Depression and Insomnia using Hypnotherapy and they are common problems during perimenopause. No-one warned us what might happen for years before menopause! The fluctuation in hormones can lead to a huge variety of symptoms. Not just the hot flashes and consequent difficulty sleeping. Thankfully the media and work place is now talking about menopause. Like many female issues it was a taboo subject and people suffered alone. It affects the whole family and relationships when mothers and wives are stressed. Men can feel rejected, unappreciated and even hated at times when their partners are going through this.