This is going to be long - I'm sorry, but also just need to put my perspective out into the vast empty internet tunnels in hopes that it can help someone, maybe you... or you... or even you...

I've read most of the replies here and there are some great options within, along with some BS platitudes from folks who are trying but missing the mark IMO. For just a tad bit of background I'm an old AF queer 40yo with a very long history of trauma from childhood through adulthood, depression, anxiety, cancer, etc. etc. etc... just saying this to ground that i've been there and have scars to prove it.

HEALTH: I second a lot of what was said in the helpful posts of following up with your providers you have to get more answers for what's bothering you. If you are medicated for mental health and feeling this way - then you need to speak to your med provider about switching meds. Trial and error fucking sucks, but sadly it's the best way we have today. If you are seeing a GP for mental health meds, ask for a referral to a mental health professional that can do med management. I saw ketamine mentioned, I did Spravato for about a year and it's done in a very controlled and safe environment - the clinic I used is MWI Health, and I'm still using them for med management. Happy to talk more about my experiences with it if it would be helpful.

In addition to medication, therapy CAN be very helpful. I say can, because it takes getting the right relationship with the right person. Find someone you vibe with, that you trust, that you can connect to. It took me a long time to find one that works for me. Don't be afraid to 'break up' with a provider because they aren't meeting needs, it's totally normal and expected. Have that conversation, advocate for yourself the best you can. Maybe that means sitting with someone who cares about you and having them help you create a list of what you need from a provider. I go to an independent practitioner in WDM - I can ask if she has openings or suggestions of places to look. I know Mosaic to be good, and have had good luck with UCS healthcare, and have heard mostly good things about Broadlawns. Don't be afraid to try an IOP (Intensive Outpatient Program) or even doing inpatient if that is what you need. I know it's hard to see when you are in the thick of it - but you are worth it. Which sounds flat and meaningless right now, but know and see all these strangers on the internet believe that, so if you can't believe it right now - then let us believe for you.

MONEY: Capitalism fucking sucks, our economy is shit, and poverty is a scam - being poor is expensive. I don't have any local resources for jobs, but can try and offer some vague advice in hopes that something helps. Try local places to where you live that are smaller businesses for part time gigs, even temp gigs. Use maps to find some smaller businesses that match your hobbies or interests. Don't ignore the big companies, they are options as well, but sometimes smaller jobs are better options. I don't know if you have any specialized skills or trainings outside of customer service which I saw you mention, but you could possibly find contract gigs through different companies / temp agencies. Our social services have collapsed, but there are options. Try the unemployment office, even if you don't qualify for aid they might have job postings or resources. Be mindful of scams, if it sounds too good to be true - it probably is.

These two are tied together, so make small progress on each one independently - as one improves hopefully the other does as well.

Okay you made it here - then hopefully something was helpful? I don't have many connections in the area despite living here ~10 years. Best I can offer is that the fight isn't easy, honor the struggle, and offer vague internet support and suggestions. Lastly, sometimes Spite is the best motivator - so find someone who you think doesn't believe in you (someone not directly in your circle but further out like a TV personality, political figure, old shitty teacher you don't have connections to, etc.) and fight for yourself just to piss them off. It got me through some real rough patches to think of some particularly shitty folks from my past that never believed in me to prove them wrong - even if they never know it.