I think everyone is capable of changing whether they realize it or not. But they need the right support. And I believe that it's entirely possible that not only have you not found the right medication or combination thereof, but the medication you need may not have been invented yet. The same goes for therapy. Maybe you haven't met the right person or found the right support group yet. But you won't know unless you try. The worst thing for someone to do is to give up trying, but I sure know how tempting that is! And I have given up at times - even for years.

For myself, the obstacles to change are largely psychological. I've had to dig down incredibly deep to find out why I'm so resistant to change. And I'm still digging. For whatever reason, it takes a major event or lifestyle change to jolt me out of my rut and to do something different to get better.

I don't know if any of that made sense, lol. It's late...