How long have you been on HRT and the citalopram?
Hubby took citalopram for severe depression years ago. It helped, quite a bit....but for him, unfortunately, feeling flat was an almost constant for him. But that was an improvement and he was too stubborn to try anything else so just stuck with it. The flat feeling went away when he was finally able to get off them.
I'm not saying that to scare you or anything....just that sometimes, certain ADs can make people feel that way and its just because it isn't the right one. However, if you've only been on it a short time, you might need longer to adjust.
Which bits of menopause don't GPs/Medics get 
it isn't about hot flushes but the whole gamet of symptoms.
HORMONES 
Sadly, that's the common theme everywhere. A quick google search of meno symptoms pulls up most sites listing hot flushes and vaginal dryness as the first symptoms. Very few sites pulling up the anxiety, gut issues, etc and rarely even talks about those of us that lose weight initially, usually the anxiety but still. You would hope the doctors would be more knowledgeable than a quick google search but sadly, they seem to just look for the common symptoms as well. So we suffer unnecessarily because they don't have a clue.
Women's issues have been ignored or brushed off for far too long in the medical world.
