From the complaints I've heard from friends, those sound like pretty typical side effects for SSRIs. (Bupropion OTOH is both a stimulant and an antidepressant, and may be more effective for people with comorbidity ADHD and depression; the POV character should talk to their psychiatrist)
Having had other close experiences for the med balancing for someone with bpd and a complex host of other disorders - most of the times neurological med families are just trialed until one sticks and the specific efficacy and side effects of each can vary wildly from person to person. Brains are really complex and we don't really have an understanding of the method of action (specifically - why the med works - what it is changing in brain chemistry and why that has the impact we observe) of most neurological meds.
We even still struggle to comprehend specific biological markers linked to certain disorders - probably in part due to the fact that we're categorizing those disorders by wide swathes of symptoms.