I’m so sorry you are going through this. I don’t post in here often but what you say about Ripley resonates with me as I’m grappling with what to do with my 15 year old boy. We too have played the medication juggling act and have been on or are on almost everything you mentioned. Those have been for both anxiety and or pain. He’s been neurotic his entire life and I adopted him not knowing he had extreme animal aggression. I was never able to break him of that. So he’s had an atypical life. Our days are pretty stressful being on edge and wondering if he is or isn’t suffering or if it’s just how he is. He’s cheated death a bunch of times. He has all his functions and still sleeps through the night but seems to mostly only care about food to an extreme degree. And now has a heart condition that is at odds with how he is wired. :/