I never had any mental problems my whole life. Perimenopause caught me unexpectedly when I had regular anovulatory bleeding, I began to have psychosis.
I was hospitalized one week and put on antipsychotics for one year. When I went off the meds I had night time narcolepsy and panic attacks. I tried DHEA and it helped a bit. I went off of 1/2 ortho evra patch (which did not help symptoms) and switched to bioidentical hormones, 1 mg estradiol and 200 mg prometrium. This resolved all psychosis.
As an added benefit it addressed developing metabolic syndrome symptoms. Please provide psychiatrists with this information because they have no clue how to treat menopausal women. They should have treated me originally with progesterone and I could have avoided horrible side effects on the antipsychotics.