I know they're a last result, but there are still the MAOIs. There are also non-medicinal (albeit more expensive) alternatives. Are you seeing a therapist? I don't recall. It must be very discouraging, but don't give up hope that you'll find something! I think you said you've been doing well, other than the high blood pressure, so there must be a medication out there that would help without severe side effects, I would think.