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What happens when a woman whose career depends on confidence and words suddenly loses both? For journalist Shelly Horton, perimenopause didn’t arrive with hot flushes at first. It showed up as anxiety, heart palpitations, crushing self-doubt, and moments of forgetting simple words at work. In this deeply honest episode, Dr Shauna Watts speaks with Shelly about her journey through perimenopause-related depression, being dismissed by doctors, and the quiet suffering of high-functioning women in midlife. Shelly shares how the right diagnosis, support, and hormone treatment helped her find herself again and why she’s now using her voice to make sure other women don’t feel invisible. In this episode, you’ll learn: • Understand how perimenopause can present as anxiety and depression • Recognise why high-functioning women are often missed or dismissed • Learn how hormonal changes affect confidence, cognition, and mood • Understand the role of HRT in perimenopausal depression • Recognise warning signs that shouldn’t be ignored • Learn why advocacy, for yourself and others, matters • Understand how shame and silence keep women unwell This episode is for women who feel dismissed, disconnected, or quietly struggling in the midlife years. Shelly’s story sheds light on how hormonal change affects mental health and how proper support can help. For more resources from Shelly Horton: Instagram: / shellyhorton1 Book Link: https://www.amazon.com.au/Your-Peri-G... Follow Dr Shauna and the podcast on social: Podcast Website: www.allaboutyoupod.com Instagram: / allaboutyou_withdrshaunawatts / drshaunawattsgp LinkedIn: / shauna-watts-a903a5247 Disclaimer: This podcast and any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice. Information is provided for educational and entertainment purposes only. 00:00 – When Perimenopause Steals Your Confidence 00:08 – Shelly Horton’s Perimenopause Wake-Up Call 00:53 – Welcome to All About You with Dr Shauna Watts 01:10 – “I Didn’t Recognise Myself”: Losing Confidence in Midlife 02:24 – Early Perimenopause Symptoms Doctors Miss 07:46 – Perimenopause, Anxiety & Depression 10:56 – Getting the Right Diagnosis Changed Everything 14:32 – What Depression Really Feels Like 15:20 – Tracking Symptoms & Withdrawing from Life 16:29 – High-Functioning Depression at Work 17:28 – Why Women Hide Mental Health Struggles 19:24 – Fear, Myths & Starting HRT 20:45 – Dark Thoughts & Breakthrough Depression 23:26 – Finding a Psychiatrist Who Understands Hormones 26:32 – Extreme Heavy Bleeding in Perimenopause 28:37 – A Health Crisis That Forced Change 30:34 – Strength Training & Rebuilding Her Body 31:50 – Body Image, Aging & Self-Trust 35:46 – Going Public with Her Perimenopause Story 40:13 – Vaginal Dryness & Intimate Symptoms 42:17 – Invisibility, Anger & Female Empowerment 48:04 – Writing a Book to Change the Conversation 01:01:38 – A Message for Women Who Feel Lost perimenopause depression perimenopause mental health Shelly Horton menopause high functioning depression women menopause anxiety and mood hormonal depression in midlife HRT and mental health perimenopause symptoms women being dismissed by doctors women menopause advocacy Australia women’s mental health midlife hormone replacement therapy HRT menopause stigma losing confidence in perimenopause