I can relate to the crying episodes that come out of nowhere. I'm sorry you're experiencing them...I find them pretty embarrassing. I hope yours cease soon. Mine usually last only a week or two.

As for pdocs's, mine works with me to find solutions. Perhaps yours will, too. If he/she's making med changes you don't want to make, respectfully express your reservations. When I do so, my pdoc works with me to resolve issues, kind of teaming with me to find acceptable solutions. The pdoc I had before my current one prescribed a different med each time I became symptomatic. By the time I stopped seeing her, I was on 7-8 different meds (zombieland). The fault, however, was partially mine, as I didn't voice concerns, or advocate for myself.

The goal of my current pdoc is to have me on as few drugs as possible (currently three), making changes only when symptoms increase significantly - & more importantly, asking for my input. He'd never prescribe me something I refused to take...& I believe I now know myself well enough to take advice when absolutely necessary. No one can force you to take a course of treatment you don't want to take - you have a responsibility for your own treatment, too.

I hope I'm not giving you advice that will tick off your pdoc, but I feel much more secure, & less "zombiefied" since I started voicing opinions about my treatment. I've been in the space you described, & I generally wait until symptoms become radically different to contact my pdoc. I've found that sometimes depression, anxiety, & paranoia can pass. My experience with past pdoc's is once you're on a new med, you're on it for good (or at least for a good long time).

Good luck. I hope you feel some relief soon.