decisions; or find it hard to sleep, waking too early or sleeping too much.
Aches, pains, headaches, cramps or digestive problems with no clear physical cause can also be a sign.
Thoughts of death or suicide or attempts at suicide are warnings for major depression.
RELATED: How To Manage The Menopause Symptoms You Really Don’t Like Talking About
How to treat menopausal depression
Antidepressants and/or cognitive behavioral psychotherapy can help correct a chemical imbalance.
While it may take a few weeks to feel the full effects of antidepressants, most women will have few adverse side effects and will show noticeable improvement, according to NAMS.
Side effects for the medications can include weight gain and problems in sexual arousal. Medication is most effective in combination with psychotherapy.
Another solution may be estrogen, which can improve mood during perimenopause in some women.
Doctors may want to consider this in women who are not helped by antidepressants.