sounds like you are dealing with a lot. Meds can be helpful to a lot of people, and may be worth a shot, especially if you are resporting to self-medicating.
I personally try to stay off of them, but I also tried several, several meds and combinations before I came to this comclusion. Everyone responds differently to treatment. If you are worried about the meds, it may be a good time to have a more in-depth conversation with your prescriber on what you can expect from them, and what you should watcch out for. It would also be a ogod idea to voice your concerns directly to your provider. We can give you our opinions (for or against), but it's still very much an individual thing.
It sounds like you have tried a lot of different interventions already. Meds may be a good alternative if you are not feeling relief from what you tried.
Good luck either way.