Hi and welcome. It's extremely tough you are going through this. I am in the very late stages of perimenopause now and the mental health symptoms have been extreme for me. Hormone medication has helped significantly. I can't be specific about it as we are not allowed to discuss specific meds here. I just wonder if your GP or anyone has suggested hormone meds to replace the lost hormones? It sounds like you've only been offered antidepressants. There is an online article on surgical menopause published by Dr Louise Newson from the UK who specialises in treating perimenopause and menopause symptoms. You can find it by googling "Surgical menopause: what to expect by Dr Louise Newson".
I now see a hormone specialist doctor. I found any GP I spoke to knew very little about mental health and perimenopause/menopause. They also had outdated ideas regarding hormone medication, especially based on a women's health study done about 25 years ago that has been found to be incorrect in many respects now and was also based on older versions of hormone medication and a much older cohort of women who had already been in menopause for some years. Dr Lousie Newson's podcast provides much more current information and there are many episodes on menopause and mental health. If you look up info from Dr Jayashri Kulkarni who is an Australian psychiatrist specialising in this area you will find much more current and helpful info as well.
I know the symptoms ca be absolutely awful. I don't think anyone really gets it unless they go through it. Some women get to cruise through this change, others have somewhat troubling symptoms and for others it is debilitating. I would keep searching for an informed doctor and a hormone specialist doctor would be ideal. The one I go to is at a clinic that specialises in menopause but they are currently fully booked out with no waiting list (showing how high the demand for help is). However, there may be something in your city/area, and there are also some GPs with specialist knowledge in menopause. I found doing research myself and then searching for people with the specialist knowledge to help me is what has given me a better life than I would otherwise have had.
Take care and happy to chat further if it helps.
