That talk sucks, no matter how you go about it. What I try to remember is that doctors see the worst parts of people every day and are probably past the point of judgement. Gross boil on your foot? Third one this week. Depressed? No problemo! If you are lucky enough to find a good doctor, they should understand your financial situation and offer what they can. Also, I don't think they worry too much about the illegal anti-depressant trade, so they won't think you just want pills for the sake of having pills. If you need help, you need help and that's what doctors are there for! If you think it would help, you could even try bringing someone you really trust to wait with you before you go in. Good luck!