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Have you tried a good psychologist? The couple therapy doesn't count - if you're broken your marriage won't work anyway. Just throwing drugs at the problem isn't a long-term solution unless you have seriously messed up brain chemistry. Ideally a combination of drugs and therapy can get you straightened out to where you don't need either at some point. I also agree about diet and exercise being key. Of course in retrospect you probably now realize that your first marriage fell apart due in part to your issues, and you didn't fix them by finding a different partner. Water under the bridge, but you need to start sorting out why you're making bad decisions and focus on fixing yourself.
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