Miswimmy's advise is good--Attend to the basics of food & sleep, so urgent for all you have going on. & she is right too that meds in general don't make things worse.
But you can't settle for "good enough." Find a pdoc who
listens to you. Find one who commits
with you to finding
the best available drugs for you to meet your needs. These need to be monitored and adjusted on a regular basis.
For the time being, your pdoc needs to be you BFF. That's how I've gotten meds that make my life so much better & a therapist who listens & really helps me have a better quality life. I won't settle for less. You shouldn't either. You're worth it!!
Roadie