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Hey OP, I saw in a comment that you've tried medications and nothing has helped. I was in the same boat and struggled for a long time. It took switching doctors, but I found one that did genetic testing for me and was able to find a medication that worked really well. Later, I suffered through some severe trauma and it really knocked me back down again. I spoke to my doctor about it and we determined that TMS treatment was a good option for me, and I'm happy to report that it worked really really well and I'm doing a lot better.
There are options out there like these, but I think they are little known, and it took many years before any doctors offered them. I know it is so hard to do so, but I think it's important to be able to speak up and say "hey doc, I've tried different meds for years and nothing helps, what other things can we do?"