You said "I am not working or going to school all I do is go to MDs appointments,errands,paperwork,phone calls and just try to keep busy but I get this fatigue and be ready to go to bed by 9 but keep myself up till 10."

What level of intensity is there to your paperwork and phone calls ?

Why do you try to keep busy ?

If you are ready to go to sleep at 9 pm, why are you waiting until 10 pm ?

You might need to find less stressful activities to keep busy with. If the paperwork requires a lot of reading and comprehension, it can cause fatigue. My wife made me cancel the morning newspaper because reading it would exhaust me so I needed a 2 hour nap.

You might try to limit any task to 15 minutes with a 10 minute break before starting another task. Early in my recovery, I had a number of tasks that I switched between during the day. It will help if you try to recognize signs of fatigue.

For example, if you are reading, if you need to reread a line or sentence, you brain has likely hit a fatigue threshold. Any time you feel like you are getting the slightest bit glassy eyed, stop, take a break and move to something else. If you catch yourself staring at a page, the wall, or anything, it is another sign of fatigue.

If you need to work to find your words, take a break. Pushing through these points is not productive for recovery.

My best to you.