Tempest, I think I understand the message you are trying to pass. Like many women going through the change, it feels like it's been/is a journey that has led me to exploration and many conclusions. I've been through what feels like hell in the past 2 years, culminating 7 months ago, and it got so bad that I genuinely thought I was dying from some horrible disease. It was the worse time of my life.
Thankfully, I started to get gradually - very gradually- better and I can now look back and feel I gain a better understanding of my own health, and like you, I think the main cause of all my perimenopause symptoms has been stress. I didn't see it as such then because my life has always been full of it and I've always managed it. What I think happened is that the effect of the perimenopause (poor sleep, anxiety, poor concentration etc...) have impacted on my ability to cope with stressful events, which in result have made all the perimenopause symptoms worse, until I got stuck in that complete vicious circle.
As my GP got bored of being sympathetic and carrying out blood tests and investigations to appease me, he finally managed to convince me to go on hrt. I was on it 3 months and it didn't help me much in that it helped some aspects but made others worse. I came off it and the first two months off were the best I felt in years!
Ultimately, I think things got better because I started to work on dealing with the stress, applying mindfulness tactics that don't work immediately, but do with time. Unfortunately, stressful events are back in my life, events that I can't avoid, and I'm back to find it much harder to be resilient to it than I used to be. Poor sleep being the worse part of the vicious circle, but what I've learned and try to apply so far means I so far manage better than I did a year ago.
My view on hrt is that it does wonder to symptoms that are directly attributable to the hormonal dysfunction, but maybe not so well when the symptoms are attributed to other disorders and the menopause symptoms only accentuate them.