Certain "simple" treatments for depression, the "first-line" treatments in most medical systems, don't work for you. Fact. And you are strong enough not to tell the doctors what they expect to hear about "improvement". Telling the truth is a virtue. It may not be convenient, but it's a virtue.

What are we to do when caretakers are limited by official treatment protocols? What are we to do when they've got no idea how to help and refuse to admit it?

I don't have an answer.
Self-care? Self-palliative-care?

((((((( Fuzzybear )))))))