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Chad, I just wanted to add that in addition to whatever meds or therapies your doctors utilize, you might want to really look into what good nutrition and exercise can do. Start slow if you are fatigued and down, but do it. Start with eliminating caffiene and sugar. Take a walk at a slow pace out in nature. Begin to eat more fruits and vegetables and less meat and white carbs. Add yoga or strength training. Look into the information on ADHD and how it can be triggered by food additives and allergies. There are a lot of simple things you can do yourself to boost what the doctors can do for you, many of which they never mention or advocate. If you really want to "get better" you will need to be proactive. I know it's hard when you are depressed! But like I said, start small. Change one thing every week -- week one: trade other drinks out for water and begin walking every day outside; week two: cut back on sugar; week three: add fruits and veggies; week four: add some more vigorous exercise or strength training; etc.