I would say run don't walk to the next T that can be more compassionate and dx you (isn't that what you are paying them for) and give you the treatment you need. I racked up $50k on credit cards with frivolous spending, with nothing to really show for it, certainly no rolex on my wrist. In the end we had to file bankruptcy and financially we are now ruined. Depression and stuff can really mess with you financially. Can you take the spending to a lower level like Family Dollar stores or something that can give you a spending fix but isn't putting you in a hole. It's a vicious cycle when you are depressed. I was out of control eating out and spending every day, anything to get me out of the house from the walls closing in. Perhaps you can log your spending habits down on paper and connect the two if it's linked to mood, etc.. Good luck.... I hope you do find that new T and soon.