Now, in great news for any 48 year old woman undergoing mood swings in the 19th century, climacteric insanity was considered eminently curable, and in even better news the cure usually wasn't being sent to the asylum, unless you were particularly rage-y.
The cure for climacteric insanity had several main strands. First of all, the patient was advised to be away from friends and family as they might prove to trigger anger or sadness. Usually this would be a trip away rather than the asylum.