Anxiety and depression for 20+ years with no end in sight

so since i was 20 ive benn dealing with anxiety and depression, from my early to mid 20's i did not know i had it, periodically i would have these random attacks, really bad stomach and digestive issues which was always thought to be from GERD. Then one day a week after i lost my dog i had a really bad panic attack to which i thought was a heart attack, i was 26 at the time, married with a 3 year old son and i thought i was gonna die! My wife called 911 by the time the paramedics came it had subsided, being cautious they still took me to the hospital where they diagnosed me that i had what was called a Panic Attack, which was caused by anxiety and depression! ive seen numerous amounts of therapists, phyciatrists, and been on numerous amounts of medications which havent helped and i have a very tough time getting past the side effects! I am now 41, divorced and remarried with 4 kids, i own a business and very successful, i do a very good job at hidden my anxiety and depression nobody would guess i have it! So ive learned to kinda just deal with it, it does keep me from doing the things i like, keeps me from travelling or going anywhere thats not close to home! Im trying Amitryptiline at the moment but after 5 weeks my anxiety and depression is seeping its ugly head threw again! Not sure if there is any hope after dealing with this for 20+ years or not, sucks cause it has taken away many years of my life of not being able to do anything that a normal person could do! any advice for me on what i could try doing to see if i can salvage at least the few years in my 40' s i have left

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