Great question, Echoes. I think I was so depressed when I was taking the medication that I didn't have any other choice if I wanted to stay alive. During that time, the only therapy being done was supportive therapy. I was a mess and the focus in therapy was to help keep me alive. But once I stablized, I really didn't need the anti-depressants anymore and the topamax, which I took to try and deal with the mood swings, made it difficult for me to work effectively at my job. I would also say that it didn't help me think very clearly in therapy either.

I know that now that I'm off medication and working cooperatively with my therapist, I'm doing some really deep work. I'm not sure if that would be possible if I was taking meds. BUT I've also moved past the depression and I'm much more stable in my life. So I don't know if the work in therapy is deeper because of the no med issue or I've just reached a different level in my recovery and I'm simply more ready to do the deeper work.