DejaVu, I have found that a combination of an AD and non-pharmaceutical approaches has been more effective in staying in remission from MDD than either has been in isolation.

My clinical psychologist is very eclectic in her approach - CBT (of course!), Acceptance and Commitment Therapy, mindfulness/meditation and Schema Therapy.

The last took me a while to understand. One of my core beliefs/Schema (different words for the same concept?) is "I am different to everybody else.". I didn't see that as being maladaptive and my clinical psychologist reassured me that it was not, which I found empowering.

The combination of an AD and the other approaches means that I am now on a "care and maintenance" basis with my psychiatrist and clinical psychologist - I see them once every six months or so for a brief "How is it going?" chat and to pick up a prescription refill from my psychiatrist.