Anxiety depression and hormones!

Morning

I have a 19 year daughter who finally got her autism ddx last year.  She has struggled with anxiety and depression including suicidal thoughts.  She has been on sertraline for a year now but we are not noticing an improvement with the depression and there is a definite link with it being worse during the week before her periods.  Does anyone have any experience of this and or suggestions of better treatments/meds/help?

Would be hugely grateful for any tips as obviously want to keep her safe but make life as easy as possible for her.

Many thanks

Jules

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