Dr. Claire, PSY. D.
If you are female, you’d benefit from reading my book: The Fifth Decade: Is It Just My Life or Is It Perimenopause?
I am a licensed Psychologist and not a medical Dr. Have you undergone lab tests, physical exam with a Primary care Dr.? A psychiatric diagnostic evaluation with a Psychologist and/or a Psychiatrist?
Sometimes, people have a mood disorder due to a medical condition, e.g. hypothyroidism. Did you inform the Dr. who had ordered the blood test for thyroid level about the mood swings and fatigue and tiredness? What was their recommendation? Sometimes, there may be a combination of mood disorder and physical problems such as anemia causing tiredness, so my recommendation is to seek professional help for both physical and mental health.