it sounds to me like you're being hard on yourself - why would taking initiative to try and fix things be anything other than great?! pathological, obsessive, delusional are NOT words that come to mind.

i study psych, so i pick up bits and pieces all the time. not anything that i've formally evolved into a "plan", but just little strategies which i think have been of use.

with pdoc - he and i are equal in my management. i will bring up possibilities, he will bring up possibilities. we tweak each other's plans until we are both happy. in fact - these days he *won't* prescribe me a medication until i've done my research on it first. he encourages me to take initiative, i don't see why your T would be any different.