Hey Suga,
My pdoc doesn't give a d**n either, so I feel your frustration with that.

Is he/she one of those that don't mix antidepressants with mood stabilizers? I know there's a controversy about this right now, but when you finally DO get into the pdoc office, ask him/her about it. I've talked to many people that take both, and I do myself also, and it seems to work well for some. (I haven't been taking the anti-depressant long enough to give you any reliable feedback myself)

As for the despair you're feeling at work, my T gave me some excellent advice when I was miserable with my job. She said "what would be the worse that would happen if you quit?" It just so happened that my employer was about to fire me anyway b/c of how much time I was out, so I resigned. A HUGE weight lifted off my shoulders. Don't get me wrong....I can't AFFORD not to work, and have had to make some extreme decisions about finances, but my sanity is worth it.

Plus I've gotten the awesome benefit of watching some really trashy daytime TV!