Many T’s don’t like to work with unmedicated people because it can just be pointless if a person is “ chronically unwell” how can they learn coping skills and strategy’s ?

Back in my 20’s I was diagnosed depressed which I most certainly was. I worked for a ALF and we had a Pdoc that came to treat many elderly patients. So he agreed that I needed meds and told me upfront he wasn’t going to waste my time with CBT until the meds started to help me so 2 meds and about 6 weeks later CBT began. I was able to actually participate in it and started learning how to help myself.

I’m not saying don’t get a T now, certainly get one lined up and going but as always I think things circle back to your unwillingness to stick to a medication regimen. I know you can’t remember but you have been wonderfully stable in the past but only when your compliant.

I think this will always be a way you go about life. Sure it’s not ideal but if it’s your nature then it’s just who you are and will likely just continue this patten.

I wish you would follow a treatment plan. I think you could find stability and be content and enjoy life and your family.

Take care