welcome to Healthcare Magic.
Hormone replacement therapy
is needed when a person become symptomatic. Considering your query you may require it.
Apart from that hormonal imbalance after menopause or hysterectomy
is associated with exacerbation of anxiety and depressive symptoms like in your case. It is better to get re-evaluated by psychiatrist
as you may require alteration in zoloft doses to control anxiety and depression.
Same time does some relaxation exercise like daily brisk walk, yoga and breathing exercise
, which will help you in recovery.
Wish you all the best.
Dr Ashish Kumar Mittal