I see my pdoc tomorrow for my monthly visit. My issues are that I am tired alot and I have NO motivation. I feel like I am such a lazy person. I've addressed this with her the past 3 or 4 visits. Also, that I am more down, than happy. Never happy actually. Anyway, she suggests I exercise. I know that may help, but it's also kind of hard when you lack motivation and have no desire for anything. She explains to me that if I had a job, I would force myself to go to work. If I had a baby that was crying, would I let it cry?
Another issue is lack of sex drive. I have no drive AT ALL. Can't she help me in anyway?
I tell her the same things every month, and she replies with the same answers each time.
I asked her for Aderrall, but she said no. I asked to bump up Welbutrin, she said I take the highest dose (300mg).
Last month she increased my Abilify from 15mg to 20mg. I don't even know why.

These are the meds I take.
Prozac 40mg
Wellbutrin 300mg
Lamictal 300mg
Abilify 20mg
Topamax 125mg

I would like to try going off Prozac, maybe that would help with the sex drive? But I don't think the pdoc will go with it , because I am depressed so often.
What do you think?
Please, I would appreciate some replies if you can.

Oh, and is there a "magic" pill that will help energize me. From what I can tell, I am healthy. Never had a bad thyroid test and blood levels are always fine.