PTSD, I read the first post in your other thread about the text exchange between you and your pdoc. Here are my thoughts:

1) text is an inappropriate method of communicating something of this magnitude and complexity. Your pdoc should know better. That she allows this and encourages it from you by her long (and insulting) replies makes me question her competence.

2) any report of "hearing voices" made to one's psychiatrist should be treated with the utmost seriousness. That is a symptom of psychosis. Your pdoc is being very dismissive of a very serious symptom! She did not even address the question of medication in her text reply to you. If a client reports "hearing voices", the client should be scheduled for a face to face appointment with the pdoc right away. There are many medications available for these hallucinatory symptoms.

3) a lot of what you texted to your pdoc would be good stuff to work on with a therapist. Do you have a therapist? Some pdocs believe they can provide both therapy and medication management, but yours doesn't seem good at either. I think you should get a therapist and seek a new pdoc for help with your symptoms.