Unless I missed it, a full diagnosis is needed for me to best suggest medications for you, but you sound mainly depressed, so I’ll go from there.
OK. BIPOLAR DEPRESSIVE HERE, with ANXIETY DISORDER and a few other things tossed in to make the mix ‘pleasant.’
Recommendation: Meds and therapy combined.
First: Nearly all antidepressive medication has sexual side affects, for some damn reason. It can really affect the males. The literature reads about 1 or 2% of the people who take the meds experience some degree of sexual problems, Guess what? They lied. I found this out doing research on the meds. Closer to 40% have the problem. Current solution for men and women? Viagra. Problem here: Psychiatrists will not prescribe it. Your medical doctor will have to. Why, I don’t know because a psychiatrist is a medical doctor.
Paxil, Serazone, Effexor, Imprimine, Prozac, Welbutin and Risperdal, along with a few dozen more, are all forms of antidepressives. YOU will probably do just fine on Effexor, which is a mild antidepressant, and has low sexual side effects. It has low side effects period. Paxil and Prozac have higher instances of that side effect.
Now, all antiD pills have side effects running from dry mouth to heart palpation’s. Other medications, like lithium carbonate or imprimin can be combined with other anti-Ds and add to the side effects. One type made me shake like I was 100 years old. Another combination took away almost all emotions – I could not even get mad and felt like a zombie, the most common effect is dry mouth, and sleepiness. Almost all will make you sleepy at the beginning. One type constipated me (thank goodness for metamucil-type laxatives), another made it hard for me to think, and one more gave me a rip-fire short temper.
That is not to say that any of this will happen to you! My condition was over 20 years in forming prior to my getting help. My metabolism is different from yours.
Now, when I went into therapy I was a mess. I was a recovering alcoholic, sober about a year, with the ‘taste’ still heavy in me, suicidal, ranging from deep dark despair one hour and high cheer the next. I, for once, was unable to see beyond the next day as to what my future would be and I was deeply, immeasurably, wretched almost beyond my comprehension. I wanted to take my brain out and wash it clean to feel happy again and to stop all of those awful thoughts I had about me and could list hundreds of reasons why I was a real, pathetic, worthless shit and only a couple indicating that I was a worthwhile human being.
My once ample energy dwindled to mainly staying in bed most of the day, my book a day reading stopped, and even taking a bath became real hard to do. If left alone, I could go two weeks before deciding that I stunk and reluctantly bathed. I’m an excellent and skilled cook and at my worst, if I ate, I consumed TV dinners or bagged snacks - usually in bed, usually watching cartoons, and usually dropping the remains on the floor.
It got into therapy – and got on medications and the first shrink sucked donkey dicks, so I got another. Now, remember, my case is very different from yours in many aspects, but it took me over a year to start feeling better than dog s**t on the bottom of a shoe. The medication helped, though I had to find which worked by trial and error. I went through 8 different types and 4 combinations before settling into Paxil and Risperdal.
These antiD pills take 4 to 6 weeks to start making a difference and during the first two weeks, you might experience many side effects. Don’t expect a change almost over night like with pain pills or tranquilizers. These work in your brain and not only do they have to gradually build up the Seratonin levels (your normal 'happy juice) but, if you’ve been sick a long time, your brain gets used to being ill and it will resist change.
Yeah. You fight yourself and yourself knows every weak point you have.
OK, so, a couple of years later, I’m much, much different from what I was, no longer suicidal, no longer facing 4 or 5 days of curl-up-in-a-dark-corner-and -shut-out-the-world depression, no more taking out the pistol, loading it, cocking it and sitting there for hours, debating whether or not life is better on the other side, or would it actually ease the pain of living. (It wasn’t always a pistol, because I was an EMT and I know how to do a quick and thorough job of suicide in many ways.) 
No more bathing every two weeks, but daily most of the time now, I cook again, I leave the house again, I grew a vegetable garden last year and this one. I don’t turn friends away anymore. I rarely consider drinking and I still don’t drink.
My sexual functioning is picky, but I’ve been on the medication long enough for most of the side effects to go away (many will, within 2 weeks), and I can function at intervals, though it takes intense stimulation. (For you, not being a drunk like I was, check with your doctor, and a few drinks might help you if you need some. Remember also, I’m on the maximum dosage of Paxil and it is combined with a medication that also has sexual side effects. You may experience very little of an effect if you are started on a low dosage of Effexor, Serazone or even Paxil.)
The changes in me with both medication and therapy have been quite a few and I even feel sharper mentally. If you take a medication and it makes you sick or real uncomfortable, call your doctor and stop taking it and try another. YOU will know how the medication makes you feel, not the doc and he/she will need your input. It got to the point with me that I just stopped what I was taking or cut the dosage down if I could not reach the doc, and they let me because they know me. (Plus, I’ve read so much about the pills through Internet sources that I know more about their side effects than they do! )
You want to get better? Get the pills. They work. In my opinion, and I am not a professional nor a physician I would suggest Effexor or Serazone for you. You don’t sound like you need a major dose, but just enough to ‘take the edge off.’
Good luck.
