It can be so frustrating trying to find something that will help. I’ve finally found that a combination of Cymbalta and Adderral help. I still don’t have any desire to get out and go places but some of that is related to my chronic pain. Normally after I do get out I enjoy things but it’s like pulling teeth(I was a dental practice manager) to get me out. The Adderral has made a big difference in my energy level and it makes me feel good to accomplish things during my day. You’ve certainly had a lot to deal with. Have you tried Cymbalta or Adderral?