Baby
You are not worthless it is just the hormone imbalance is making you feel that way. I am in exactly the same boat, hopeless, worthless, better off without me friends and family it is truly a shitty time the menopause. I currently am 3 weeks on testosterone to try and help lift the mood alongside that im on 100mg estradot(doubt I will be able to get any more so will move to oestrogel) (approx 2 months) after not absorbing on gel anymore. I also started sertraline 7 weeks ago so they have thrown the lot at me and I wait and hope for "me" to come back and I am so scared I wont. So all I can say to you is that what you are feeling is normal you dont need a psychiatrist. They sent me to one 3 years ago when I first started this journey me and him had nothing to say to each other it was all hormonal. Once the hrt oestrogen levels kicked in i was well and stayed well for almost 2 years till this fluctuation that I never realised would happen but they do and its trial and error but WE WILL get there it just takes a bit of tweaking and waiting. Good LUck!!