The whole depression / anxiety / ptsd merry-go-round that I have been on for 20 years now has left me feeling exhausted mentally. There is only so long that it is possible to go on being hyper vigilant for, constantly being on edge, so it seems. Obviously all this has left me very down, but I don't want to die -I simply want my situation to get better (this seems to make a lot more sense). I am writing this because I am in crisis right now and something needs to change immediately. I have tried meds, counseling, group sessions, various 'coping' workshops without any success, and now cbt which while it is the best thing I have come across certainly is no magic bullet. Is there something else I can do to actually get this sorted out, as contemplating another 20 years of this particular brand of misery is unbearable? I welcome any sensible suggestions.