I am not sure whether my fatigue is physical or mental, or if it's something I should go back to the Drs about.

Brief history - about a year ago I went on SSRI meds for 6 months, I had low mood and fatigue. The Dr said the SSRI would not only improve my mood but would give me a boost of energy. Well the mood did improve but the boost of energy never came. When I saw my GP about coming off SSRI I explained the energy was still low, at the time I was out of work and could not understand how someone not working could be so tired - she said looking for work was tiring.

I came off the SSRI and was okay in my mood, I got a pt job and have been there 5 months. The fatigue still persists, although it comes in waves and some days are better than others.

A typical day for me would be awake at 6am, work 7am-12pm. A few hours sleep in the afternoon. Bed 10pm. Does this sound normal? I feel like I'm sleeping my life away. I also have migraines (sleeping is often all I can do with them).

Previously to the fatigue I was pretty fit, running, swimming - I have declined in my performance significantly and not enjoying it anymore as it feels so much harder.

In addition I am clumsy/badly co-ordinated and having a lot of mishaps which I put down to tiredness. Also my libido is non-existent (previously healthy).

Part of me wonders if this is just middle age decline and that is why I'm reluctant to go back to Dr, also she seemed dismissive last time.

Any experiences of dealing with fatigue?