Hi Ashley! Have you ever taken florinef? That's what my daughter takes for the salt wasting part.She takes 25mg of cortef daily and 1mg of florinef. Have you tried another endocrinologist? Maybe someone on this board can recommend a good one near you.( We are in Florida )Maybe you need to switch medications.I think you need to get your levels under control first of all! Then see how you feel. Birth control pills alone (without cah) can cause depression. It's worth a try. Let us know. :)