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What sector do you work in? Jumping at any in house training they have available could be fulfilling, especially if it comes with extra responsibility afterwards. Without knowing what you do vs what you fantasise about doing, all I can really say is be pro-active. If you think you're in a rut it's not going to get better through meds and therapy will just tell you to be pro-active. Assertiveness training, things in that vein, could help you massively to improve your standing in the work place.