@BethRags and @BirdDancer: Thank you both! It's true that I've found all the meds pretty overwhelming. To me it's scary every time I start a new med or adjust the dosage, not knowing what side effects I'll get and whether it will cause any long-term damage. I still have this hope that once I've stabilized I'll be able to function without meds again, but even if that's not possible I do want to keep meds to a minimum.

That said, I agree that the current med combo doesn't seem to be doing enough to really get me stable, it's only taking out symptoms here and there. @BethRags: I have heard Lamictal mentioned before by others, including @BirdDancer, and it sounds like a promising option. My Pdoc has also mentioned it. I think if I change anything that's probably the one I'll give a try first. The downside is the long buildup period but I guess I could do that alongside my current meds if need be. I wish there were some meds that work well that I can take only "when needed" instead of having to commit in the long term.

I actually did ask my therapist how she was coping with the isolation. She said she was okay with it, but that not having face-to-face contact was highly undesirable for the therapeutic process (couldn't agree more on that). I didn't get the sense that she was losing a lot of patients, but then again I think most of her other patients have only "mild" issues and are stable enough to cope with the situation or even postpone their treatment for a few months if need be. For people with serious issues the situation is a lot different I think.