After 18 long years, being diagnosed at 16, then having the diagnoses changed at 20, then reconfirmed as MS last week I am now starting to look at my symptoms for what they are rather than me just struggling with life. I was put on Duloxetine 60mg daily a few months ago as a neuropathic pain killer and my neurologist would like to start me on treatment ASAP. He has given me some options to research then consider and I wanted to ask for some informed advice and opinions. He has given me a few but suggests the high efficiency route which leaves Ocrelizumab and Ofatumumab. Also, my mental health is awful, depression and anxiety being an ongoing thing for me since I was 16.Fatigue is another huge factor for me in my daily living. Is there anything I that can be done to help ease either of these? I am seriously struggling with my daily life, fatigue going hand in hand with my poor mental health and some days I just don't have the energy or get up and go to do anything and rarely leave the house. I've had to step back from my job as a nursery nurse as I've been unwell since January, but I dont think childcare is suitable for me to go back to and having to try to think about what I want to do when I am able to go back to work feels impossible. Any thoughts, opinions or advice would be amazing. Thank you for reading.