Our expert says:
WHile there might be other possibilities this sounds very like a depression in a conscientious person who has high expectations of themselves. You lead a hard-working and tiring life, but this excessive tiredness is typical of depression. Fortunately, this is a condition which generally responds very well to proper treatment.
The tiredness, the irritability,the loss of interest in sex, it all fits the pattern of depression. You need and deserve treatment.
You could explore the services in psychiatriy of your nearest medical school or large state / government / provincial hospital, where they should provide competent services and treatment. Sometimes the very latest drugs might not be available, but there are many antidepressants around now, and available. Please take the effort to ensure you get the treatment you deserve, as you could before long be feeling a great deal better, and dealing with everything much better. Also, a GP might be able to confirm the diagnosis and prescribe similar proper treatment.
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