Crispy, sorry you are suffering

When I went through menopause it was back in the day when the initial scare stories re Hrt hit the media with a lot of misinformation. I had a lot of problems with the prog side of things and feel I gave up too soon due to a very ill informed GP.
I didn't give ADs a good trial until my late fifities and found that having tried and failed with the SSRIs that Mirtazapine worked very well for me. I wish I had tried it sooner. I subsequently came off it after a while, but am now considering Amitriptyline for another issue (sciatica) plus the sleep issue which never really went away except when I was on Mirtazapine.
I think ADs are definitely worth a shot for anyone who cannot use Hrt, after all you can always come off them after a decent trial time if they don't suit, nothing lost.
Regarding constipation which some members mentioned: I've found having failed on other natural remedies that
Milled Flax Seeds work brilliantly for me! The ordinary unmilled ones did nothing for me by the way. You can use them in smoothies, cereal, yogurt etc. I put a heaped dessert spoon full on my Weetabix each morning. I hope I'm not breaking any rules when I say that I use Tesco's own brand, I think they cost £1.60 or thereabouts.
Good luck everyone!