*Laurie*, I feel the same way you do about medication. If I skip my rexulti for a day then I do notice that I have more energy at least in the morning. On the other hand my anxiety seems to go up a bit although anxiety is pretty high anyway. My pdoc wants me to go from 2mg to 1mg of Rexulti to see if this helps with the energy zap. I just feel zapped most of the time. Can you tweek your meds to see if it makes a difference?

TheSadGirl, well that all makes sense. I think a big psychological part of my fatigue is lumping things together instead of chunking and also thinking it will always be this way... struggling to just get through the chores in life instead of getting out there and living it. The group cbt class yesterday helped with coping skills.

Fuzzybear, I'm sending you my best hopes too. To make it through a better day. I think the worst part is when I start to think every day will be the same or worse for my energy than today, so life is just an endless spiral down. Of course it is in the long run after about the age of 35 but we can have some good spurts. My son thinks I will recover some energy. Maybe he is right. That is an example of what I learned in cbt called 'thought replacement'.

WC, we are in similar situation regarding energy. I am going to ask my pdoc for a weeks worth of adderall to see if it helps. Vyvanse is too long lasting for me and messes with my sleep which I can't afford as a bipolar person. I would like to be able to run for short bursts not the whole day necessarily. Do you take adderall on a schedule or just for an occasional pick me up? Lyrica solved my chronic pain problem more or less although it is sedating too. Fortunately I need much less of it than I used to when I worked. Chronic pain is fatiguing all by itself just by virtue of existing chronically. Maybe anything chronic is fatiguing including chronic anxiety or what is called "generalized anxiety disorder" which I also have a diagnosis of. When you think you are not safe, no matter where you are (as I do in my own home) that is a source of great anxiety. i learned yesterday or got reminded about self-soothing when having a panic attack is to ask yourself if you are "ok now, or how do feel right now?" the second question is "do you feel safe right now". No wonder have GAD.

Miguel'smom, that's the toughest part about fatigue is the thought of not knowing how to change it. It's possible that lowering rexulti will work for me and give a little energy boost to the day. Maybe adderrall will help too. I do believe each and every person has ways to increase their energy if they can find them. It's different for each person too. I'm due for a physical but I'll wait until July for my oncologists blood tests and take it from there.