Hello there Catt
I second everything that Sybil says, and I’m just so sorry that you’re so deep into this struggle. It’s great that you finally joined us: we’re glad to have you!
It’s late, and I’ll just point you to a piece of reading that may put some of what you’re feeling into perspective: Not just joints and tendons: PsA can affect your brain too.
I think you’re going to have an interesting discussion with your rheumatologist. I’d definitely be exploring the possibility of biologic therapy with her, as GrandmaJ suggests. We’ve had a fairly recent discussion about biologics that you should read if you haven’t come across it already: Afraid of biologics
Again, a warm welcome to you Catt: we’re glad that you’ve come out of the shadows and joined the conversation!