Menopausal depression/anxiety result from estrogen decline + life stress. Korean medicine views as liver Qi stagnation + heart-spleen deficiency. Treatment: ① Sijo-soyo-san (anxiety/irritability), ② Gamcho-Daejo-tang (anxiety/insomnia), ③ Gwibi-tang (depression/fatigue), ④ acupuncture (HT7, PC6, GV20, etc.), ⑤ counseling support. 70–80% improve within 2–3 months. Concurrent treatment of physical symptoms (hot flashes, joint pain) is more effective than psychiatric medication alone.