I was diagnosed with DCIS stage 0, grade 3 in mid May. I had two tumors in the left breast. I was ER positive so immediately went off my estrogen patch. Within a few weeks I was experiencing hot flashes and night sweats and I was miserable. My bilateral mastectomy was scheduled for August 20 and I was not getting any sleep so my primary prescribed a low dose of anti anxiety med, along with an anti depressant. I guess there's some evidence that the antidepressant can help with menopause symptoms. I decided to wait until I was done with surgery to start the antidepressant med and just used the anti-anxiety med leading up to surgery which took the edge off my anxiety. This worked well for me. Hope this information helps.