I wanted to say that 4 antidepressants isn't really that many. Everyone reacts differently to them, so it's not unusual to have to try a bunch to find the one that works. Many people find that using 2 meds together works better, too.

Pretty sure over the past 4 years, I've tried about a dozen different meds and still haven't found quite the right fit (I'm also really sensitive to meds and their side effects, so that makes it harder). I've been diagnosed with generalized anxiety, panic disorder, OCD, and recurrent major depression. But now my new p-doc is exploring the possibility that I have bipolar II (which involves depression and hypomania, a lower level of mania than bipolar I). So she's trying me on a mood stabilizer (Abilify) along with the SSRI I've been on (Zoloft).

The recurring thoughts could be a symptom of OCD--they're known as "intrusive thoughts." So that's a possibility that's not a personality disorder. The other thing is, personality disorders can coexist with things like depression and anxiety. So even if you did have one, you could still get help for the symptoms.

Could you see a different p-doc? I've found that having one who really seems to listen to me makes a huge difference. Or if you can't find a new one, could your T talk to her?