I'm glad you recognize the change in thought patterns that come along with this -- good for you! The only thing I'd say is that it is easier to recognize in someone else, so something to be aware of (which I suspect you are). Like so many, I can sooo see it in others, but when it is happening to me, it is perfectly logical, no matter how whacked it is. Guess that's another caution. My psych is pretty ok with my making adjustments too, but with the understanding that I'm not the only one watching myself, because, when it is "logical" to me, I sometimes have very bad reasons for adjusting them. Guess those are connected, lol!

Good point about people not being able to understand INvoluntary thought until one has personally experienced it. That's probably why so many well-meaning people are perplexed and can't believe that it's not within our control. Sure, we can try methods to detour them, but it doesn't keep them from coming.

Irreplaceable is right in saying to be sure to put your health at number one. And I don't say this from a perspective of anything approaching financial comfort. When I moved, one of the first things I did was work on getting a psych, because I knew that w/o that, everything else would be for naught. No job, no insurance, small savings. Didn't matter, because I knew that without psych and meds, I'd never make it, let alone be able to face the challenges of the other stuff.

As far as the recommendation question. You say you are confident in your PCP, so yeah, ask for a rec. I always get hinky about PCPs handling psych meds, because I had a very bad experience. Mine was comfortable with ADs too. Except it turned out she was in way over her head, couldn't (wouldn't?) recognize it, and I didn't know any better for a long time. It was hell.

"Plus, when you really get down to it, the best time to get help is at the first sign of the illness getting worse."
(Sorry to have missed putting this as part of the quote capture.) You couldn't be more right. Let us know how it goes, ok?