Hello Dee46
I'm not really able to comment on the HRT situation with you, since I have only very recently started it myself (in the hope of alleviating both physical symptoms and mental health deterioration .. I've posted in the New Members section, which gives an idea of the kind of things going on with me).
However, I just wanted to offer a little of my personal experience of anti-depressants. First of all though, were you on Pregabalin for long and at what kind of dose? You probably know that, as well as being a pain medication, it can be very helpful for anxiety (I took it for a short while) so I wonder if you are having withdrawal symptoms from it? I agree that it would have been best to taper it.
Some a/ds do (at first) cause the very symptoms they are supposed to alleviate, especially as the levels build up in the body. Have you been on the Citalopram for long? Everyone is affected so individually by each medication, but generally, the SSRIs need a good 6-8 weeks to build up to full effectiveness to see if they are actually helping. It can be hard hanging in there when you are so desperate to feel better. I take Cipralex (in the morning) which isn't dissimilar to Citalopram and is supposed to ease anxiety (whereas Prozac made me all jittery). I think the Menopause, in my case, has thrown a colossal spanner in the works
and I do wonder whether the hormonal apocalypse has impacted on the efficacy of the anti-deps (i.e: they don't seem to be doing much).
You could try asking your GP to refer you to the Mental Health Team for an assessment. Sometimes you have to really state you are desperate in order to get the wheels in motion.
If and when a/ds start to help, the improvements can be very gradual and subtle, so do bear that in mind. Also, if you go on to another one, ask if you need to taper the dose of the old one or cross-taper on to new one. Going on to a new one may well be like starting from scratch. If you stop an a/d altogether, never be tempted to go 'cold turkey', and, if you've been on them for years, the tapering has to be very very slow indeed. Usually much slower than is generally recommended to allow the brain, which has adapted to the A/D, to cope with the change.
Deary me, why do things have to be so complicated
I do hope you find some helpful professionals to point you in the right direction soon. X