So, Qwerty, your original post got me thinking . . . it seems to me that if your mental health state has been on a downward trend since 1995 I would really start investigating nutritional deficiencies. The details you posted, including at the end "MDD with psychosis," jogged my memory of reading recently published research in the psychiatry world on the link between schizophrenia & vitamin deficiencies. I'm not saying your are schizophrenic, but the psychosis symptoms are attributable to MH diagnoses of which schizophrenia is one. You may not be getting enough quality nutrition if your income restrictions are significant enough too afford nutritious food.

I recently - as in the last 4 weeks - figured out I'm Vit C deficient. I eat well and use supplements, but was Googling Vit C deficiency (scurvy) in guinea pigs. I started reading one article which turned out to be about humans with Vit C deficiency - guess who had a multitude of the symptoms?? I was stunned. Called my nutritionist friend in another state and asked her "How could this be - I eat well?!" She said it was most likely all the intense stress I have been experiencing for years - interfering with the absorption, depleting my stores, or whatever. Anyway, I've been taking a minimum of 4000 mg of C per day since - guess who is feeling better?? Not just with the physical symptoms, but my depression as well! Yeah, I feel pretty stupid because I know the mind & body are one . . .