An allergy specialist may be able to help you with the fatigue. It could be the result
of some allergens that you are inhaling or ingesting that cause that sort of thing; it isn't
only depression that can cause it by any means.

Have you ever been given a food med called "Deplin"? (look at it online http://www.Deplin.com ). 70% of depressed people do not have the necessary enzymes in the stomach to metabolize folate into a form the brain can use to build serotonin neurotransmitters. (And serotonin is the "good feeling" neurotransmitter.) Only a genetic test will determine if you have that condition, but my psychiatrist thought that if Deplin worked, there was no need to do the genetic testing. It worked for me and I take one 20 mg. tablet per day. It takes no more than 15 to 30 days for you to feel the improvement. It's inexpensive here. I pay about $15.00 per month for a supply, and I think it's covered by most insurance companies. I know of at least one other person who is med resistant who takes Deplin and finds that it's very helpful. (I wouldn't be without mine, frankly.)

After your psychiatrist has put you on Deplin, (even your personal physician can prescribe that for you), I would go back to my personal physician and ask for some
blood work to determine your levels of vitamins. Medications take their share of
vitamin storehouses in our systems when they are metabolized, and it's often
important to have that checked on occasion when feeling tone gets very low.

A psychotherapist might be the person to help with self-esteem issues, although once
you get your serotonin levels high enough, you may find yourself feeling much better
about yourself.

If your psychiatrist resists the idea of Deplin, I'd get another doctor, frankly. People
with depression can respond to so many different things, and I believe we generally
have a very sensitive system that needs special care.

There are other things you can do in your diet to help. Reduce the acids of fluids
and tissues. We'll help with as much as we are able, but right now you need to find
out what's really going on with your system.

Take care and get the chemistry work done with your internist or general practitioner
to find out all you need to know and then go for it.