I am sorry your family is not more supportive and understanding.

Since you ask for advice I would say be totally honest with your pdoc and maybe tell him that what we are doing is just not working the way I would like it too. What other tools do we have to try that might work? Not just meds but all tools. Regroup with your pdoc and come up with a new plan. I don't know if you are in therapy or not.

My family never saw how serious things were for me because I was 2500 miles away since I was 19. Then a couple of years ago when I was in serious crisis I reached out to them. When I mentioned the S word and how serious it was it got their attention. That doesn't seem to be true in your case though. Can your pdoc talk to your family? sometimes that helps. My mom called mine to talk to him privately because she didn't know what to do.