I'd like you to re-read the OP please. I've not done the diagnosing. I've just tried to take a proactive approach by learning what I can about this stuff.

My ability to get help is hampered a great deal by where I live and the need to work for a living. The meds are not my idea but they help more than they hurt.

On the other hand, the issues above are more or less well established. My concern is that the list grows longer with time. It's hard to avoid the conclusion I'm gradually losing any grip I ever hand on my ability to cope so, while your advice may be spot on, the worse things get, the stronger the impulse to just pack it in and give up trying to have a normal life.

Thank you for the reply though I must admit it strikes me that you may be taking some things for granted.