How do you decide between initiating antidepressants vs. hormone replacement therapy for post-menopausal depression?  

As a perinatal psychiatrist, I often prescribe SSRIs and SNRIs to target menopausal mood disturbances, anxiety, and vasomotor symptoms. Gabapentin is also often a helpful treatment for managing anxiety and hot flashes during the menopausal transition. If a patient is interested in hormone replacemen...