I have the same issue due to depression and Lexapro has helped immensely. The negative feelings persist but the motivation and lack of apathy toward work has been greatly improved.
I take Lexapro with Vyvanse. Fantastic combo. The persistently negative thoughts just turned off.
I try to take "medication vacations" for tolerance and I can tell by the end of the 1st day the shitty thought patterns come right back in a hurry. It's incredible.
The self-loathing and obsessive perfectionism (including having to correct everyone on everything, and not being able to be wrong without getting angry) has nearly completely vanished.
I literally just started this combo. I've been on Vyvanse but just added Lexapro to address other issues. My psych seems to think med vacations are a bad idea due to instability. Any thoughts on how they're helping out?