I am concerned why are you often off meds. It might be the root of ongoing problem. You were acting irrationally but then it turns out you are off your meds. It happens quite often. Could it be that thats what he lectured you on?

He is a psychiatrist and he prescribes you meds but then you don’t take them and it results in some behaviors that aren’t productive..

Can you not afford meds? You mentioned that you’d not qualify for state assistance because you have money left to you in a trust. Can you use money in a trust for your meds so you don’t run out?

It’s extremely bad idea to not take your meds as prescribed.

Would you consider applying for disability if you are unable to work? You were under psychiatric care for so long, you gave ton of evidence of having hard time. You can apply online and see what happens

I also wonder if seeing psychiatrist for therapy is too expensive as you have no health insurance. I’d think psychiatrist charges more for a visit than therapist would? Or same?