Do you think you could manage with therapy alone and see what the therapist comes up with? Maybe he/she could pull more weight if it became obvious that therapy alone wasn't going to cut it. Or maybe therapy would work. I've always been pro meds even with my kids and their issues so I can't say I am unbiased. I will do whatever it takes not to feel like crap for any longer than I have to, I'm very proactive with my treatment.