hormones can certainly cause lots of unwanted symptoms.
How R U managing the HRT? Patches for example can be cut into pieces to 'add' or 'remove' small amounts as well as using a whole patch. The important issue is not to over load the body with too much difference at once or it might kick back! It has been suggested that adding or removing should be done every i.e. 3rd or 4th night to allow the body uptake time to adjust.
Does the Fluoxetine help, it may be that the dose needs to be upped for 6 months for you to benefit. Who oversees your various regimes?
R the moods cynical? Do make a list of worries to discuss with the Psychologist, I found venting really useful!
Let us know how you get on. There is a search box so if no one responds, do put your medication in: individually: to read threads; make notes ;-)