yes, I agree that not all patients fit into the research models but when treating a patient, these treatments that have been shown to be effective for many people (cognitive etc) are the first place to start and they are no way the only option. But have you tried these types of therapy before? If you haven't tried these therapies which have good outcomes for many, I think he is right to suggest it. But if you have given them a good go I can understand your frustration.

T's have a bias against meds and drs have a bias towards meds. That said the truth is probably somewhere inbetween. Granted they can have side-effects and getting through that first week can be crap and Lithium has to have bloodlevels done etc but it is a well studied/known drug that has been around a while and is known as a good mood stabiliser. Have you given your meds a decent trial of weeks on an adequate dose?

I really do understand your frustration about seeing yet another dr with yet another opinion. But have you tried the stuff he's suggested before? You aren't happy now so maybe think about it.