I'm not sure how questioning the efficacy of SSRI's or of any other anti-depressants makes one "anti-psychiatry". Anti-pharmacological perhaps, but still not unequivocally. Considering how many in the scientific community do so, one has to ask, why? There's no relative money to be had in opposing big pharma, just as there's little money to be made being an advocate of more regulations in the banking industry.

If you want to get to the bottom of any situation that seems on the surface inexplicable ask yourself the simple question ‘who profits?’
— William S. Burroughs

Anti-depressants were never meant for long-term maintenance, which makes it tricky for dysthymics. There's an excellent research paper here that details many important considerations:

http://www.researchgate.net/profile/...73161bab06.pdf

Personally, I wish I'd never taken even one, including SSRIs, SNRIs, and even the tricyclics, as their complications to my overall mental health have far outweighed any glimmers of slightly elevated mood I may have experienced on occasion.

Change of scenery, when it's available, can be a nice shot in the arm.. not a whole solution, but I don't think there's any one answer like that.. takes efforts on multiple fronts.

Best of luck to you.