Hello Everyone!

I am a 37 year old male and I have bipolar disorder, ADHD and depression with anxiety. For many months now I've been depressed with mixed states of mania. My psychiatrist started me on antidepressants a couple of months ago (in addition to my mood stabilizers). I don't have thoughts of death anymore and I'm generally in an okay mood, but the depression still lingers in the background of my life.

My therapist and I talked about starting a daily routine that includes exercise and keeping a mood journal. I really want to start a routine because I believe it will have a positive affect on my well being, but I have no motivation to do anything. Just getting out of bed in the morning and getting to work is difficult. I have plenty of time after work to fit in a workout and/or write. I don't know if it's the depression or something else, but I can't get myself to do anything. Sometimes I don't even have the motivation to shower or brush my teeth.

Has anyone been in a situation where they've been depressed and it caused serious motivation problems? Any suggestions about starting a routine and creating a mood journal? I'm grateful for any advise that you have to offer.

Thank You.