I am a 51 yr. old woman in menopause for about 2 years now. It has been 2 years since I had a period. Hot flashes started about 3 yrs. ago during perimenopause. I have about 20 to 30 hot flashes in a 24 hour period. I am a breast cancer survivor and I am also diagnosed manic depressive. I rarely sleep for longer than 2 hours at a time. I may get about 3 hours total in a 24 hour period. I get sleepy and I go to bed, within about 10 or 15 minutes I am wide awake and very restless. I do this all night and finally around 4 or 5 am I fall asleep for about 2 hours. I am constantly tired and fatigued. I have a very difficult time concentrating and have no motivation for anything. I have a Dr. appt on the 27th of this month and I see my Therapist and my Psych this week. I am not taking any meds right now. I went off of them back in September after an intentional overdose and have been using natural supplements with a very healthy diet void of all caffeine and sugar. I have been on so many meds for depression and anxiety over the last 25 years and have become frustrated because nothing seems to work for me. I was ok for about a month or so and now my life is hell. I really have no friends to speak of, I live alone at least 1000 miles from all of my family. My life is miserable. I have been better and know I can be again but I need help. I know my situation is a combination of depression and menopause. But being a breast cancer survivor I think my chance of HRT is slim. Any suggestions?