Just turned 47 and have always struggled with anxiety but came off sertraline 18 months ago and have been doing well. No libido in general but that's been for years, possibly thanks to being on sertraline for so long. In the last few months I've noticed a bit of brain fog creeping in and the odd nighttime hot flash. But what's concerning me is the sudden drop in my self esteem. I'm a slim size 12 jeans and 10 top and dress well but also only 5 foot. If anything I've lost weight over the past few months but every single time I look in the mirror I feel SO short and dumpy and its beginning to affect my confidence. I was out for dinner with a group of younger friends (all 40-41) this week and barely spoke all evening because i kept thinking how young and cool they looked and how old and dumpy I felt. This really is quite a new feeling for me and I'm wondering if it's perimenopause as I can't see anything else has changed. Has anyone else experienced this?