Regardless: if someone is depressed or suffering anxiety, regardless of causation , then appropriate medication which is known to ease symptoms should be prescribed. Without mine I wouldn't be here! It does seem as though NICE push HRT without taking the whole person into consideration, instead of a holistic approach.
HRT can take months B4 a regime is found. Which can cause more and more depression and/or anxiety. My depression is organic as well as clnical/situational. My anxiety started at age 3. Due to being on treatment, when I did reach peri., it was controlled so hormonal upheaval wasn't an issue. Each case should be thoroughly discussed with each patient - if she complains of depression, then depression should be treated. HRT can be considered alongside once symptoms ease.