I love your signature on your post. Loving the comment about what asking your body, but also your dog is adorable!!

Okay.... enough of that. LOL......

18 month waiting list? Goodness! Is there a shortage of T's where you are located?
How long and how often had you been seeing your T before you were let go? I ask because I don't see how 1 session, 1 good week, or even 2 in a row makes you all better. Are you able to contact your T when things are bad? Meaning, lets say today is just a really bad day and you are really struggling, can you call her to talk at all?

I think you're doing the right thing as far as journaling. Maybe having that on hand in future sessions will help you address issues that seem to trouble you the most. However, reducing your meds probably isn't a good thing unless your doctor has encouraged you to do so. Do you cut back on your meds often? Do you think that could be partially contributing to your highs and lows?