I'm 38 and for the past year have suffered with anxiety and depression, I've been taking sertraline 50mg and have been having counselling and therapy to help. I feel a LOT better than I did so I think the medication is working (however a few professionals have suggested 50mg is very low and potentially it's a placebo) anyway the point of my post is, that about 10 days before my period is due I start to feel anxious, sad, tearful, angry etc all the typical symptoms of PMS but in a much more severe form that I've ever known previously. The moment my period arrives, it's like a huge wash of relief and I feel like 'me' again (albeit a sertraline supported version!) so I'm wondering anyone else noticed the sudden onset of severe PMS in late 30's? Is it a sign of the peri menopause? Perhaps I don't need the sertraline at all, perhaps I could handle this using alternative therapies and look at my diet and lifestyle etc? I have been reading 'Period Power' by Maisie Hill which is very insightful but I guess I'm interested to hear from any of you that might have been through similar and how did you handle it?