I present with OCD and Depression. Symptoms include; anhedonia, lack of motivation, mood instability - highs and lows (often), lack of self worth &amp; desire to change things, not being able to get up in the mornings, get out of bed &amp; sleeping too long, and anxiety (OCD). 

Past medication: Fluoxetine (Prozac), Sertraline (Zoloft), Escitalopram (Celexa), Paroxetine (Paxil), Venlafaxine (Effexor), Clomipramine (Anafranil), Buproprion (Wellbutrin), Buproprion &amp; Fluoxetine, Modafinil [very short term] &amp; Fluoxetine, Vortioxetine (Trintillex), Moclobemide &amp; Aripiprazole (Abilify) &amp; Clonazepam (Klonopin). 

I know that the likely suggestion will be an MAOI. However, it is extremely difficult to convince an NHS Psychiatrist in the UK, let alone a Private one, to prescribe an Irreversible MAOI. Also, they might be the best antidepressant of a bad bunch, but they do have quite strong side effects and, after experiencing this with Moclobemide, short half-life antidepressants that you have to take several times a day have always been an issue for me as I forget or don’t take them at the same time every day. 

What would you suggest, as my next medication, to try based on my symptoms?