Therapists are trained to assess for suicidal depression . . . not that they, or anyone, always catches it. Therapists are not trained to discriminate between depression caused by an adverse reaction to medication verses depression caused by other issues. I am not aware of therapists taking even a single one credit course in pharmacology. I worked in a setting where there were medical staff and licensed counselors. It was the practice there for counselors to refer all med issues, or suspicion of med issues, to the nurses, as discussing medication was considered outside their scope of practice. Most of them didn't even know how to spell common psych drugs.

I had fairly severe reactions to two medications. The reactions could have become life-threatening, if I hadn't figured out myself what was going on. The drugs were lithium and Ritalin. In both cases, I went to psychiatrists with serious symptoms. The docs failed to catch that I was having adverse reactions. Each time, they told me to just go home and stay on the meds ordered. Lithium can cause severe dehydration and loss of muscle coordination. Ritalin caused me severe anxiety. My pdoc misinterpreted that as depression and wanted me to go for ECT. When I stopped the Ritalin, the anxiety resolved and the uncontrollable crying went away.

I would encourage everyone to get in the habit of chatting with their pharmacist. That's who might give you some of the best feedback regarding meds.

I'm glad you found a provider who gives you one stop shopping and can evaluate you better.