I am a big proponent of making sure you've been fully checked out physically by a doctor before jumping to a depression diagnosis and lots of meds. I'm not denying that you feel depressed or have depression. But the fatigue you're talking about deserves to be checked out medically.

If it really is depression causing so much fatigue, one thing I would suggest is looking into TMS, transcranial magnetic stimulation. It's not like ECT, it's very mild, I myself underwent it, and it was helpful for returning to work. Didn't fix everything but was helpful. However, insurance usually wants you deemed treatment resistant before they'll cover it.

The biggest thing in helping me through depressed periods was forcing myself to maintain a routine and schedule and not allowing myself to fall into the trap of sleeping 24 hours a day. I would even schedule myself "depression time" so that I would just have 2 hours in my day where I could lay in bed and be depressed. That may sound odd but it was like I had to just work around the very severe depression I had but still wanted to live a life. And I assure you I was completely disabled by PTSD and depression. Was even on SSDI for it.

It's hard when it's at it's worse because no amount of wanting to get up and do things will change it. So therapy and meds seem to be the route. I still would really stress getting a full physical before assuming the tiredness is depression. My underlying health condition got written off as depression for years and now I'm finally getting a real diagnosis that might help resolve or manage things better.

Good luck and welcome!

Seesaw