I have been suffering with clinical depression and a personality disorder as far as a diagnosis goes with very intrusive and dark thoughts to end it all. I have been signed off work been historically prescribed sertraline, xenflaxine, mirtazapine, quetiapine, fluxetine and for me I am sorry to say that the anti depressant/anti psychotics do not work. Anything beyond sertraline/citra will put me in a dissacioted state, mirtazapine and quetiapine being by far the worst for side effects which are incapacitating. I have been to the psychiatrist and had 3 sessions and then for some reason they messed up further sessions and had no record of me, I had to to go back to my GP who reffered a an urgent case which was a month ago. I have called, chased and got nowhere and have been told I just have to wait. I was promised psychotherapy but there is a 2 year waiting list, I am on the cusp of sorting this out in my own way, the system is floored, it is clear drugs have not been effective for me but I am stuck in a loop where prescription is almost a pacifier for the help I really need. It's a matter of time until I am perminantly unable to return to work as this spirals out of control, I would be grateful for suggestions as to what should do next as I am at a loss?