Little Turtle - I am so sorry for your difficulties. I’m wondering what you think about lithium? Have you ever tried lithium? I’ve started it recently after other med failures. I know you probably aren’t bipolar like me, but in reading about lithium, it can be used in treatment-resist depression or as a booster to antidepressants.
I don’t know where all the articles are I’ve googled, but here is one:
https://pro.psychcentral.com/the-inc...um/001606.html