I think you should see a psychiatrist unless you are on a med that is working really good for you then you could transfer to a GP just for refills. You stated that you are not doing good on meds so I think you should still see the psychiatrist. I keep a daily mood log and give it to him because I get nervous and I can't remember how I was last week. You may need to increase dose or change to another one and it should be a pdoc who makes those desicions. You should also advocate for yourself. I have often went it and said this just isn't working and I want to try out this drug. They usually go along with me.