I'm so sorry emotions - you're trying to manage quite a bit, which is extremely difficult when we're so ill.
Are you under the care of a regular MD or a Lyme specialist?
My gut instinct is to suggest you go off the those medications (Ativan, Cymbalta, Abilify) and try to address those symptoms by addressing the underlying causes. IF they address sx, they mess with just about
everything, and cause additional disruptions that you end up chasing with more drugs. Now, some people really do make progress on them, particularly with sx that cause stress and that can sometimes trump everything because stress is particularly damaging and disruptive.
But if it were me, that's probably where I'd start if things weren't working right - slowly, safely, unwind and try to rebuild one thing at a time without the drugs.
I had some pretty severe neurotransmitter imbalances when I got real sick and then again when I started treating - depending on what I was taking and how much I was detoxing. It really takes some time to work through reactions to the treatment and exploring possibilities making sure you are detoxing really, really well.
Looking at your salutation, fatigue, sweats, dizziness, memory loss/brain fog, depression, anxiety, insomnia can all be caused by multiple things. So that takes awhile to figure out. Here are a couple more questions:
Are you supplementing thyroid correctly? Most MDs don't know how to test thyroid correctly, much less treat it and underfunctioning thyroid can cause those sx and more. Often, adrenal function gets haywire if thyroid gets imbalanced, as well as other endocrine functions. You probably should also have neurotransmitters tested. A naturopath or Lyme MD should be able to do this much better than a regular MD.
Also, have you explored yeast/fungal overgrowth? It can also cause those problems. There is a list of sx in this post:
Y/FO post in the "New to Lyme?" thread:www.healingwell.com/community/default.aspx?f=30&m=1606610&g=3644275#m3644275
And of course, the gut health I mentioned is really important because so many of those sx can be caused by issues in the gut - this could also include tick infections affecting GI function.
I'm sorry - there really isn't an easy answer or solution and sometimes, the more these regular doctors try to help us, the bigger the mess they make. These are very smart, capable MDs yet most are primarily trained to diagnose symptoms and prescribe drugs for them. Few understand how to investigate cause. It's baffling.
If you are not currently working with a Lyme specialist, I think it's critical for you to find someone. I can't tell from your posts if you are still treating tick infections. You might need to do that (although that doesn't mean via IV) as well as work through the other symptoms you're having---it's very possible they are related to the tick infections but that should be ruled out.
Sorry - that's a lot to dump on you. It just seems like you need to switch directions.
Chronic late-stage lyme—likely infected in '00; Clinically dx Mar'14 w/ Babs, Fry Labs+ Bart-like, CDC+ Bb. First treated 4-5 viruses & GI/immune. Herbal antimicrobials in May; IV port-started Rocephin in Nov; added vancomycin Mar'16;
DETOX: Pinella/Burbur/Parsley/Milk thistle/Burdock/Red root; Samento/Banderol/Enula; JK/Turmeric; BFM-1; antifung; many many supps; cholestyramine!