Have you had any other med changes? Sounds like no, except for the vibriid. Is that an antidepressant? Maybe they should give you a new one?

It sounds also like your feelings about your t are changing? He upset you with the texting, I know that. Maybe all this is a mixture of that with meds no longer providing stability. Can you tell your pdoc/provider that you think you may need an antidepressant started or changed also.