Im 22 and suffering from social anxiety and depression since I was 15. I tried 13 medications now and 3 therapies (2 depth psychological analytical ones, 1 cognitive behavioral one) all without any success or reduction in symptoms. I moved to a new country now and surely I think this was a great step as I can begin from new, as my past is really dark and I experienced many things I dont want to remember, (which I would if I would still be there where I was before), also good to move on from my old contacts and family to be able to start a new life and personality as my old contacts might drain my unconscious mind to my old habits and personality... 

I have a doc appointment tomorrow for trying a new medication as my current one (Mirtazapine 30mg) is another one without any success... Its sadly not a permanent doc as all the ones I got the contact to are in holidays rn. Still I hope she can give me advice for new meds. I also tried going to the gym regularly like every 2nd day and trying keto and carnivore diet but nothing helps. So in conclusion, 13 meds, 3 therapies, regular gym (while it helps a tiny bit) and diet dont help me.

What I tried from meds:

Escitalopram (Cipralex) + Promethazine; Venlafaxine (Effexor) + Quetiapine; Sertraline (Zoloft); Opipramol; Paroxetine (Paxil); Duloxetine (Cymbalta); Moclobemide (Aurorix); Amitriptyline; Gabapentin; Methylfolate; Mirtazapine (Remeron); Diazepam (Valium).

I now want to give my doc a list of meds I still want to try and thought of:

Nefazodon (maybe amplified by Abilify/Aripiprazol or Lamictal/Lamotrigine)

Tranylcypromin (Parnate) (suggested by my old doc as I'm clearly treatment resistant and it could be time for stronger MAOIs as Parnate or Selegilin – Moclobemide already tried but without success - Nardil (Phenelzine) is sadly not available in my countrie or near by)

Tianeptine

Agomelatine

Or try again SSRI/SNRI/TCA but I never had luck with them so far so Im very unsure if it would make sense, for example the ones I didnt try yet like: Clomipramine, Vortioxetine, Desvenlafaxine (Pristiq), Fluvoxamine (Luvox), Fluoxetine (Prozac)

Otherwise new as needed medication (current one is diazepam but its too weak and short lasting), so maybe: Clonazepam, Lorazepam, Pregabalin, Hydroxizine, Tianeptine, Amisulpride, Propranolol

Or maybe Im just wrongly diagnosed, maybe ADD or some other psychotic illness? As I suffer strongly from ADD symptoms and I already know when I tried Ritalin it reduced my symptoms widely, like amazingly... 

Last resort I would try Ketamine, rTMS, even microdosing mushrooms or LSD or take a trip to a foreign country and do a Ayahuasca therapy... Im really fucked. I cant live any longer like this. What should I do if 13 meds and 3 therapies didnt work, gym doesnt help enough, diet change doesnt do anything? 

So Id be happy if you could help me out somehow or give me answers to:

1. What would you do in my case? 
2. Which meds have helped your social anxiety? What effects or positive changes did you notice from them after how much time?
3. Which meds should I try next (maybe some from my list are accurate?)?

My symptoms are very bad:

\- Social anxiety seems to be one of the main sources of my depression as I: dont leave the house, dont go outside, socially isolate myself, neglect all my colleagues and "friends", I wouldnt call them real friends as I neglected them so often and cant be myself when being with them or anyone, even family members or yearlong friends, I cant go out my room when I dont know that a roommate is not in the corridor, so I even skip brushing my teeth sometimes and not going to the loo due to that

\- life is a daily suffering, startin from the moment i open my eyes in the morning to the moment i close them in the night when i try to sleep

\- i have dreadful negative thoughts about my past, present and future, everything seems falling over me, everything seems so bad

\- i have very low self esteem, no self trust

\- moving is hard, eating is hard, drinking is hard

\- my cognition is very bad, like memory and concentration/focus, I feel dumb af and lacking general knowledge

\- no drive, motivation, energy or joy at all, anhedonia and lethargy, lack of drive, no passions, no hobbies i follow anymore

\- etc and a lot more but its already so long