I would tell him basically exactly what you wrote here. Key: you said, "It almost feels like this doc doesn't take me seriously or believe I truly just want to manage the depression in order to live a better life."

So, I would tell him that, but maybe leave out the part that you feel like he doesn't take you seriously if you're uncomfortable with saying that.

Say you want to manage the depression to live a better life.

Say the best way you know to do that would be to go back on Prozac because that's what worked before.

Also say that what you're doing right now is not working, so it's time to consider a change.

You can pick and choose the order of those statements, but I'd recommend that you say your most important concerns first.

It sounds extreme, but maybe don't even let the doctor speak that much before you state all of your concerns.

Like, you can greet each other, but then after that, I would dive directly into what's bothering you.

Doctor's appointments are challenging, but this is the best way to approach them so you get what you need out of them.

This method has worked the best for me in the past. Also perhaps you could write out your concerns and bring them in on a sheet of paper so that you remember to state all of them.

I hope this helps.