Its so hard to sort ones self out when there is a bundle of problems. Just which one do we prioritise tonight and which one will be the leader in the morning. I am amazed that you can even type with that bouquet of medications. but realise you have to have them unless you could wean off with a great team. And it would take over 6mths or longer.
The only suggestion but it sounds like you are trying hard to do that is to set a goal, to have the clock organise your life, rise and do chores by a certain time, have frequent rest periods and slowly reduce them. When there is energy use it when there isn't then sleep off the lethargy. I have days where I just write it off as my recliner is the only place that seems to give enough energy for me to just breathe. I hope someone has an answer for you