White Papers & ReportsAnxiety disorders can manifest differently in women and can worsen premenstrually, postpartum and in the perimenopausal transition. Insomnia is pandemic in midlife women, although the cause remains unexplained within the scientific community. This report will examine both evidence-based and traditional approaches to using select botanicals with particular attention to the influence of cortisol on sleep disturbance. It will also discuss the influence of hormonal states on insomnia and anxiety.