Rkyfat, your wife's symptoms sound just like the ones I had in May and June (minus the breast lumps). I really felt that I was barely keeping it together enough to function day to day. All the symptoms have all subsided drastically or disappeared completely since starting on ADs in June. Obviously, menopause is still taking place but no panic attacks.
My consultant thought that menopause was exacerbating the anxiety/depression but that the problem wasn't menopause itself. Lots of friends of mine are going down the HRT route and that seems to help as well with panic attacks etc... I guess it's personal choice but I feel more comfortable with ADs than HRT.
Has your wife ever taken ADs before?
Me: 51 H: 52 T: 23 yrs M: 19 yrs S18, D16, S14 (special needs) PA: 2003/2004 Piecing: 2004 on Suspect H had EA: 8/2012-12/2012