it sounds like a clinic with limited resources, can u go to another health center? or somewhere where they do sliding scale? talking to a therapist for at least 2-3 sessions can help you get the diagnosis right, though I noticed of what you're feeling I'm going through as my 2nd round of depression, waking up early is one of the side effects. you need to find the right meds and give it 3 weeks or so to begin seeing the effects. I liked celexa but at the end it gave me drenched sweats at night, reneron made me gain 10 pounds in 1.5 weeks, I'm on Zoloft now and it's helped with my anxiety and depression ( at the end of week 2). for sleep u can try trazodone but that leaves u groggy, I'm on Ativan for a bit and I just take it when I wake up so I can go back to sleep.