Mandrake, My Heart and thoughts go out to you! Having been having your issues all my Life! I have been on meds for the last 30. They work fine although I still get periods of both anxiety and depression. I am quicker to ID it and how to deal with it. Age is a Great teacher! So sad that we are constantly talk about these and throw $$ at them but nothing changes, except private companies make $$$$.
Our medical profession understands very little about the mind and mental illness!
As for advice, I would work hard at understanding when one of these hit. Learn to ID them. Disapear or just jump off the Merygoround for a bit. Ususally and hour helps me. Take a nap! Go sit in a park. I found with the Insomnia to go to your dr. amd get sleep medicine. I took Ambien for years, just recentl changed to Lunesta! There is such a stigma attached to these. But two things to know about Mankind is 1. You can't survive without sleep. 2. You can't survive without water. If you get a good night sleep it will help deal with the others.
You have found Mayo Connect, It can be your Life Perserver! I know it has been mine for the last year!
You can toalk and ask questions and no one will think ill will of you.