CBT for Hot Flashes
vs
SSRIs for Hot Flashes
A side-by-side comparison of two menopause relief methods — efficacy, cost, how they work, and who shouldn't use them.
Side-by-side comparison
| Method |  CBT for Hot FlashesA structured, evidence-based talk therapy that teaches skills to manage the impact of hot flashes and night sweats. |  SSRIs for Hot FlashesA low-dose SSRI (paroxetine 7.5 mg) approved by the FDA for moderate-to-severe hot flashes. |
|---|---|---|
| Efficacy | Recommended see details Recommended by the Menopause Society for symptom relief. | Recommended see details Recommended by the Menopause Society for symptom relief. |
| Cost | $0–$200 /per unit Insurance: Varies | $0–$200 /monthly Insurance: Usually |
| Duration | 4 weekly sessions | Daily pill (ongoing) |
| Reversibility | Reversible | Reversible |
| STI Protection | No | No |
| How it works | CBT teaches skills to manage the physical and emotional impact of hot flashes, including pacing activities, breathing techniques, and cognitive reframing. It does not eliminate hot flashes but reduces how bothersome they are. | Low-dose paroxetine affects serotonin and other neurotransmitters involved in temperature regulation, which can reduce hot flash frequency and severity. |
| Prescription | OTC Therapist-delivered (no Rx) | Required Prescription required |
| Available Products | No branded products yet | 1 product |
| Side effects |
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| Who shouldn't use this | None reported |
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