I wanted to share something positive that might help others. My worst symptom is fatigue. I also struggle to get good sleep. During the day, I'm exhausted. I have to drink coffee to even function and often need an afternoon nap. I have been on Amitriptyline (a tricyclic antidepressant) for many years to help me fall asleep. I have been working with my neurologist and my psychiatrist and trying add on medications for sleep and fatigue. I had a bad reaction to SNRIs in the past (Cymbalta), but we decided to try adding Wellbutrin (an NDRI) during the day to combat fatigue. I'm finding it to be helpful for me!