Hello bunnylove.
I think we are similar in that I had been period free for three years when the constant anxiety started. I put up with these horribly strong internal shakes every day believing all the time that they would soon fade as other symptoms had. After six months of no respite I asked my doctor for HRT. I was also prescribed an AD and I think they have reduced the flushes but really hormone therapy has produced the greatest difference.
I suggest that you acquire all the information you can and perhaps consider any treatment as an experiment rather than thinking of it as a long term commitment. It would be a shame to miss out on something that may help you get through this tough time.
Whatever you decide to do I wish you well and let us know how you get on.
K.