Skip to content


    Attention All WebMD Community Members:

    These message boards are closed to posting. Please head on over to our new WebMD Message Boards to check out and participate in the great conversations taking place:

    Your new WebMD Message Boards are now open!

    Making the move is as easy as 1-2-3.

    1. Head over to this page:

    2. Choose the tag from the drop-down menu that clicks most with you (and add it to any posts you create so others can easily find and sort through posts)

    3. Start posting

    Have questions? Email us anytime at [email protected]

    Includes Expert Content
    Am I going crazy?
    Jusduck70 posted:
    I am 42 years old and have been going through perimenopause since I was 38. I have reached the point where I feel like I'm going crazy. I am out of control in every aspect of my life. Over eating, over drinking, over spending and the anger has reached a new level. I went into a rage last night and don't even know what I said, but did suffer the aftermath from my boyfriend about how I am never again to speak to him like that. I am taking anti-depressants but cannot take hormones due to a long smoking history. Who has suggestions?
    Mary Jane Minkin, MD responded:
    Dear Jusduck70,
    A couple of suggestions. First of all, hard to say whether this is perimenopause or not; often a tough diagnosis to make; but certainly could be. Are you seeing a mental health professional to provide your anti-depressants? One thought would be to see if they could incorporate something like Welbutrin into your regime; welbutrin is the same thing as Zyban, which is used to help stop smoking. If they could help you stop smoking, you could use low dose oral contraceptives, which could control the hormonal aspects. Are you exercising regularly? The more, the merrier; both aerobic and strength training type activities may well help control some of your feelings. And if you aren't seeing a mental health professional to prescribe your antidepressants (like you are being prescribed them by a primary care provider, for example)-you may want to start working with a counselor who could give you some guidance.
    Good luck,
    Mary Jane

    Featuring Experts

    Mary Jane Minkin, MD, is a nationally recognized obstetrician gynecologist, with a special interest in menopause. Dr. Minkin is clinical professor of ...More

    Helpful Tips

    perimenapausal help that works for me.
    I'm 47 jus started expeiraning hot flashes again after not having them for 10Yrs. Now I'm not having periods for 2M Now and crave sugar for ... More
    Was this Helpful?
    1 of 1 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

    For more information, visit the North American Menopause Society website