I think with the MRI it would be two things that stoped your pdoc from ordering one -

1 - cost - they are very expensive and if he feels that it wont change the course of the therapy/meds why bother?

2 - any form of radiation/magnetic fields to the brain are limited as muchas possible for possible side effects

not that i agree wiht your pdoc - i know when i dmaged my back adn the x rays showed a minor problem - i knew they were wrong - i mean the pain was telling me they were wrong but the drs wouldnt believe me - it wasnt till i had an MRI they found out the true extent of the damage - so i can see where you are coming from - i think its about validating that we have a problem - when there is nophysical sign - like a splint on an arm or a cut - to show it.

i take cymbalta too 120mg - i used to take efexor - that made me feel like a zombie - and zoloft didnt do anything for my suicidal ideations

i hope things improve for you soon

P7