Hello numberwitch,
I took some symptons to my GP four years after diagnosis, including early waking and and a sense of disconnection. I was quickly diagnosed with moderate depression, put on anti-depressants and the counselling list.
I started a group therapy course today - "Loss & Change". I put up a new post before reading yours - hoping for some replies on it

What I would say is, just because we're suffering from POF it doesn't mean we're averse to other conditions, including mental ill health, and on that front we can turn to health care the same as everyone else.
I'm optimistic about recovering, and believe the talking therapies will address the causes while the ant-depressant help with the symptoms.
Consider asking your GP for counselling - its our NHS.
Onwards, downwards and upwards - life is a rollercoaster and joining others suffering Loss & Change (outside of POF as well as fellow sufferers) is already helping.
Bests
KrystalTipps