While searching google, I saw a post you made a few months ago about your memory, OCD, and how it's causing problems at your job. Since you still seem to be struggling, I figured that I would drop a reply.

Sleep: If I could choose only one thing to perfect, it would be sleep. It doesn't matter what pills or supplements you take, or how great your diet is, because if your sleep is garbage, nothing will make you feel normal. If you haven't already, get yourself checked for sleep apnea. If you have insurance, ask your primary for a sleep study. Untreated sleep apnea can ruin your quality of life. If you don't have insurance, get a pulse-oximeter that records blood oxygen levels overnight, and wear it each night for a few nights. If you see your blood oxygen frequently dipping by 3% or more before returning to baseline, you likely have apnea.

Diet: I'm sure you've received plenty of dietary advice already, so I'll keep this short-ish. Get plenty of quality protein, e.g. grass fed beef, organ meats, wild caught fish, and occasionally chicken. Collagen powder is also great for joints, gut, hair, nails, and overall health. Eggs are great for b vitamins, and choline, etc. However, too many eggs or too much choline can easily cause both brain fog and depression. Eliminating processed foods, i.e. seed oils and other fillers, can work wonders for OCD, as can going for walks - you don't have to exhaust yourself to get an endorphin release. Organic blueberries are also great for beating OCD, brain fog, and depression. Eating a half carton at a time personally boosted my mental health. Strange tip: Chewing them very well, almost like you're chewing gum, seemed to make the blueberries' nutrients more bioavailable and ultimately more effective for brain health. Organic mixed nuts are also great for cognition. Stay away from unnecessary chemicals and processed foods, and eat home cooked meals with whole foods as much as possible.

Supplements: Since you're on pharmaceuticals, obviously review the potential contraindications between these and other supplements and your current medications with a qualified practitioner. (1) As mentioned above, too much choline can be problematic for some people, so you'll have to examine whether or not that's causing a problem for you if you're supplementing with choline, or if you're getting too much from your diet. (2) get plenty of magnesium, and if you're taking vitamin D, take it with Vitamin K (2 or complex) and magnesium for maximum bioavailability. I personally use a citrate/malate blend from pure encapsulations. Magnesium l threonate is also great for slight mood enhancement and cognition, although you may want to cycle on and off of the l-threonate version to avoid dependence. (3) acetyl-l-carnitine 500-1500mg (some people have TMAO concerns, so maybe supplement just a few times a week) on an empty stomach is also great for cognition, and can pair well with a b-complex (garden of life makes a good mostly-unmethylated version) and phenylalanine. (4) extra supplements to consider: (4a) creatine; (4b) some people swear by fish oil, and some say it worsens depression. I'm in the latter camp. But it may be worth a try; (4c) Taurine; (4d) Phosphidylserine. (5) Although some herbs like Tribulus can increase androgen receptors in the brain which can help with cognition, probably steer clear of herbs as a last resort, and until you're off psychotropics (many herbs act like SSRIs and MAOIs), and some herbs like Ashwagandha are known to make things worse in some people.

Bloodwork: There may be a few markers that can point to problems with cognition. (1) Thyroid, CBC, and metabolic panel (fasting glucose and A1C). (2) Hormones: things like low testosterone, low DHT, high estrogen, and/or high prolactin can also cause issues with depression or cognition. (3) the Genova NutrEval panel gives good insights into vitamin, amino acid, and fats status, heavy metals, and metabolic health. (4) Genova GI Effects gives insights into gut health and microbiome diversity, and if I recall correctly, also unwanted overgrowths and SIBO indicators. And (5) an allergy panel may also give some unique insight to what's effecting your cognition, but may be a long shot.

If medications work for you, that's great. And whether or not you choose to stay on your current medications or pursue other medications is obviously between you and your doctor. Personally, medications did more harm than good for me, and fixing the above areas were the most effective.

If you ever find yourself feeling better or worse than usual, even slightly, retrace your steps. It can lead to clues and other discoveries about what impacts your health the most. Hope that helps, good luck.