Hm, it sounds like you dind't have good doctors so far. I think you should still believe in medical help, but you should focus on these disappointing things you just outlined, and make the point clear with your doc, or even better start over with a new one.

I am taking meds for depression (my case is easier) from 6 years (I'm 36) My pdoc adjusted the prescription twice, in response to variations of the frequency and intensity of depressive episodes, and everytime he gave me full explanation, but only after I requested it. Many patients just don't want to know...

As for the therapy, obviously it'is the most diffcult thing for a depressive, but you need to be ASSERTIVE with the therapist and make clear that you want to set therapeutic goals. If you can't figure them out, then you should address this first: "doctor, I want you to help me to make up my mind about what exactly my therapy should be aimed at".

Well, I hope thees considerations may be of help.

The best of luck!