Looking for a bit of advice. I have suffered from periods of quite severe anxiety over my life-I have just turned 50. In the last 4 weeks I have had quite a bad spell. It starts when I can't sleep and then all the catastrophic thinking starts. I continue to work but I have felt the anxiety and panic attacks are so bad that I have felt suicidal. I have been put on Citalopram- 4th week but I have been reading a lot about menopause and anxiety. I have hot flushes, nausea, irregular and very heavy periods. My self confidence is gone and I am beginning to wonder if anxiety is being exacerbated by the menopause.