In case someone comes across this thread or there is someone smarter than me that can provide an answer, it happened again and I've found the cause this time. After I reinstalled my system, everything was fine, bluetooth was connecting, headphones and controllers worked, life was good. I installed TLP to try and help battery performance and ran sudo tlp start and sudo systemctl enable tlp.service. Made no changes to the default TLP configuration file, didn't run recalibrate, anything, just installed and started. Shut down my laptop went about my day, and just turned it on a few moments ago to find that bluetooth would not enable and it said no controllers were found. Removed TLP and rebooted, everything works again.
