what to do

I ran into similar issues about your age. Ex-DW had just hit menopause and then she lost some close relatives and our dog died (no kids, so the dog was like a kid to us). I think she was just depressed and she agreed to get counseling, but she ended up with a counselor that felt that marriage was an anachronism and was convinced she would be happier alone. Fifteen years later I still don't understand it, but I'd suggest joint counseling as opposed to letting her work with a counselor alone.

I can speak from experience. Perimenopause and menopause can bring on some really strange things. I started getting really anxious for no apparent reason; nothing in my life had changed and it was only when I made the connection with menopause and treated that did I get my old life back. For me it started in my early 40s.
 
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