Struggling a bit

I have been struggling w/motivation and fatigue, depression, etc. I posted earlier w/explanation of my situation-panic disorder medicated w/Effexor, 187.5 mg/day. It works well and, through cognitive therapy, I have the disorder pretty much under control. However, I am still having problems w/fatigue related to depression. I am a 46 y/o female w/premenopausal symptoms. basically, I sometimes don't know which way is up! I know that training makes me feel better but I lack the motivation, although I ran a couple of miles today. Please tell me I am not the only one who experiences this! No crisis here but it is nice to be able to air out my issues in a sympathetic forum.

 Thanks!