Anyone struggling to manage their mental health condition(s) again now that they are in menopause?

I guess I just can’t believe how hard this has been, and by this, I mean the impact of menopause on my mental health. I am diagnosed with anxiety, CPTSD and bipolar disorder, but I have always leaned heavily toward the depressed side. I literally was stable for decades to the point where I saw my psychiatrist maybe once every six weeks and basically almost never thought about my diagnoses other than to ensure I did appropriate self care, took my medication, etc. I worked in a supervisory, client facing role in human services and I acknowledge that being an essential worker during COVID definitely led to burnout. But I still felt like an integrated human.

Then menopause hit in 2021. I was completely destabilized by suicidal depression, made worse by several significant losses. I’ve been cycling through meds again like I did in my 20s, with searing symptoms of anxiety and depression. I’ve had to change jobs to a much less demanding career or else I would not be able to work at all (and I am really fortunate I was able to make that happen). I ended up hospitalized for the first time in my life at age 50. I am in group and individual therapy and only just now feeling more stable days than unstable days. The past three years have been absolute hell and I am privileged to be in a good marriage and to have a roof over my head. I am wondering- has menopause just wreaked havoc on anyone else’s mental health after years of stability? This has been fucking unbelievable. I’m on HRT.