@Fuzzybear
You might want to try mirtazapine if you aren't getting enough help from other things. It's been found to be one of the more effective antidepressants, and it helps with sleep and anxiety too. BUT... don't start it until you have a few days when it won't be a problem if you're groggy all the time. It makes a lot of people sleepy, sleepy, sleepy until they start to adjust to it. It's almost alarming if you aren't warned.