I have already posted to you previously but that's OK. Just some extra thoughts in responding to your new post.
My main issues were severe panic disorder and a bit of depression, but it usually lifted in a few days. Unlike you, I did keep up with housework. Antidepressants are the first line of treatment for anxiety. It's a lot of trial and error to find the right medication to help your particular symptoms. I hear you about health issues with family members & lots of death, job losses, etc. Loss is a tough one especially for us seniors. It's all around us in one way or other. You mentioned your "horrible pig pen"...that home environment alone can make you depressed and unmotivated to do anything, make you feel exhausted mentally & physically...you are in a vicious unhealthy and overwhelming cycle.
Can you get your 4 adult children to help you clean up and throw out your junk? Are you able to afford a biweekly or monthly cleaning lady? If not...can your 4 children help MOM with chipping in some money to do this? Are you a hoarder or just not able to summon the resolve to get up and clean? You have to get your home in shape, this in turn, WILL make you feel emotionally better and more motivated. Depression is like that...you feel you should be doing "something" and then you do "nothing" at all. Can you get outside for short walks? A bit of exercise is healthy for the mind and body, of course. Can you get yourself into therapy? You certainly need it! I was never on Auvelity...perhaps you mixed me up with another poster. I am on Zoloft 200 mg. daily. Zoloft is considered "safe" for seniors. It has definitely helped me as my panic attacks & anxiety has decreased. I still have moments of "despair" because of my son's mental condition, he's not getting better and not listening to me...that's MY heartbreak right now. Plus on my 70th birthday I received a call with the results of my breast biopsies. I have cancer in both breasts. I was in shock, most of my adult life has been focusing on my heart disease now this. Bilateral mastectomy will be done. Yes, no matter our age, life continues to throw us curveballs. A therapist with help you with coping skills. Ask for help, you surely need it! Hope you can clean out your house...you will feel better, it's not the complete answer to your mental state but it will help.
I can tell you clutter affects me in a bad way, so I get it. Best of luck to you, keep me posted 🙂