as for the medicine does, you have to advocate for yourself. You have to ask why. you may end up pissing off your psychiatrist but you need to make the decisions about what medications you allow yourself to take because it's not going to help if you're not going to take the medicine. if you can I would suggest looking into taking viibryd as it has both AP qualities but is an SSRI and is weight neutral but it costs a lot. If you really don't want medicine tell the pdoc that. Maybe you can come to an agreement. Ask questions there is a printable form that ill link later. It's med questions to ask and if you choose not to take that medicine you'll have exactly why. The meds you choose you can look at it to see why you choose it.