Nadine is 47 years old and presents to her local GP with a nine-month history of night sweats, low mood, fatigue and sleep disturbance. She reports that her work as a community mental health worker has been very stressful lately and things have not been going well at home. She has recently found out that her 16-year-old daughter has been drinking alcohol, smoking, and skipping school to spend time with a boy that Nadine doesn’t know.
At night, she lies awake ruminating about work and her daughter, but is also troubled by drenching night sweats which started a few months ago. She hasn’t had a menstrual period in about three months and feels she could be perimenopausal.
