This is interesting because I struggle with the exact same thing, but my issue is partly motivation or energy to attempt the writing, and partly being so self-critical of everything that I write. It's tied to my meds I'm absolutely certain. I'm sedated all day and it isn't til night when i should be going to bed I find the energy to write. Maybe the work is suffering because I'm so tired but also quick to dismiss my creative works as junk.

As I said there is a connection but it's the side effects. I've definetly become less passionate since my last increase in meds and maybe that's been a continuing trend, but I seem to be ok when I'm not depressed. It's interesting because I almost never enjoy the process of making poems anymore, and I've struggled with trying to find a solution. I never considered that a med issue though.

That's tricky. I've never been one to try the holistic thing, but I would re-read articles on coping skills to get your tools sharpened for winter. Also, definetly get a therapist. It's only like 30 minutes every other week or once a month. You don't want to go off meds and start all this responsibility alone, I believe, maybe you don't.