Thanks for your question and welcome to AnxietyConnection.com.   First, exercise would most certainly help you. Regular exercise has been shown to reduce the symptoms of anxiety and depression. The YMCA has programs to help you financially and will not turn away anyone, regardless of their ability to pay. (I do not know your financial situation, I am just making this comment based on you being out of work).   You should definately dicuss your lack of motivation with the CNP. The lack of motivation may help the CNP understand your current state of mind and can help him or her make sure your medication is working to help you right now. Sometimes, personal experiences and situations require medication to be adjusted, even if temporarily. Your CNP needs to know, however, your situation and emotional state to best prescribe medication for you.   As far as which medication, let your CNP know that you are feeling fatigue right now. It could be the fatigue is a symptom of your depression, not of your medication. All of this should be discussed with your current therapist and CNP to make sure you receive the best medical care.   Eileen