Maybe don't think of it in terms of long-term meds? Set a goal to take them every day until you see your pdoc again and go from there. You did really well using a ticker to keep track of meds a few years ago and I'm pretty sure you felt better during that time. You made it a long time with that and I think you should try to make the same thing happen again. It sounds like your pdoc and therapist and going to work together to help treat you and that you'll be actually seeing your therapist a good amount of time. This could be a really positive situation if you take the ADs and do what you need to do in therapy.