Your story kind of reminds me of mine. For years I cleaned my apartment well enough but I kept failing my inspections. It got to the point I was sure it was personal, and I've never been paranoid. Sure I had a little clutter but 5 minutes would have easily taken care of that. Not a reason to fail my inspection. There's along story here why I hadn't been on meds for a while but the important thing is on January 20 (I think it was a Thursday but don't quote me) I woke up feeling very different. When I went to bed the night before I felt like I had for years. When I got up in the middle of the night I felt the same way. I couldn't put my finger on what was different that morning. Then it hit me. That's how I used to feel before I started those meds. I felt very good and happy. I realized that in all the years I had been on the meds (8 years+?) I had only had a good belly laugh a handful of times. I've joked more than that in the short time I've been on this site.

Two weeks before, I moved my computer from my bedroom to my living room so I had to do some cleaning. When I stepped from the bedroom into the living room I realized my apartment was an absolute pig sty and I had already cleaned about 20% of it. The bathroom floor was disgusting. I hadn't crossdressed once in that time, which is like a cowboy not wearing a western shirt and hat for that long. I realized that the meds had finally gotten out of my system. I knew I hadn't had those highs and lows for years. That morning I realized that's right, I hadn't had any highs or lows. I was as flat as a dinner plate.

So it could very well be your meds.