Tamoxifen after a double mastectomy

Would be easier to list what side effects I didnt have. I was on tamoxifen for 6 months and had: mood swings, anxiety, depression, fatigue, bone pain, I cried every day for weeks on end. The same registrar told me there was nothing she could do except refer me to a psychiatrist, I am on duloxetine for neuropathy pain which hasnt taken the pain completely away but has helped. I live 400 kms from my health team and sorry I will not change as for the most part they have been fantastic. I am 55 so no more kids for me. My "journey" started on March 3 2018 when I noticed breast tethering. Last chemo was October 3rd 2018