Oh my god, this was me last june
eventually, as a dear friend the same age had found relief with HRT, I contacted a menopause specialist gp online
1 hr online consult later, many tears, long story short I started 25mg estrogen. Within a week the intrusive/suicidal thoughts were lessening
she diagnosed me with PMDD, as she said my local GP might not agree with HRT aged 41, and by writing PMDD on my notes they can continue to prescribe my HRT - but she explained that essentially I am in Peri- menopause.
after 3 months I felt sane again. 1 Year later am on 75 mg patches and so relieved for modern medicine. I would have been one of those women who had their head in the oven/spent all day drunk not so long ago…
GP advice can be hit and miss, so I recommend searching a menopause specialist. Not a gynaecologist as they are different.
Don't waste time, please go and find the best quality help you can x