It might not be that rare, it could be that it's misdiagnosed.
It's a known fact that GPs will diagnose MH problems when it's indeed a hormonal imbalance.
I'm in peri and doubted my MH with how low I was and my GP immediately suggested anti depressants with no real questions on my other symptoms.
I've suffered from Nicola's age, which isn't 'early', it's normal!
I stuck to my guns, knowing my body, and was 2 seconds away from mentioning NICE guidelines when my female GP (who you'd think would be more sympathetic) finally mentioned HRT and went through the health check for them with me and prescribed HRT. I'm one of the lucky ones that it worked for, which goes to show that it was my hormones and not my MH.
As a side note, I was told thought that HRT isn't for everyone and that some Anti D's can help with symptoms... something maybe for anyone who can't take it to look into...
Have a look at Diane Danzebrink's story, hers is one of many where woman have almost killed themselves because of hormones and thankfully she lived to tell the tale and is now a huge advocate for women.
There are pathways to specialists privately, but not easily on the NHS, if at all.. I'd assume you'd know that and be more empathic being in mental health. You do seem pretty judgemental for being in the profession you say you're in.
The thing I will agree with is that this new information about Nicola will put the fear of God in women who are at their lowest point, but because it's not been handled right and it needs handling incredibly sensitively and educationally.. like not saying it was early menopause!
My hope is that GPs, and clearly some MH professionals, will be forced to take a mandatory course in female hormones, peri and menopause.. then we will see lives, family lives and marriages saved
Eta.. if I'd told a GP or MH professional what I'd been going through in my family life now and historically they have misdiagnosed me with MH problems, when it really wasn't that at all