Dear David,
You are depressed and not making complete sense. Listen to yourself.

OK. So the doctors you have run into are not good. What is the alternative? Stop seeing drs? Move to Scotland where the system is a little better I heard? Move to France? Work with what you've got. If the pyschiatrist can get the meds right, it doesn't matter about his English skills.

You said that you had been feeling better and then stopped the meds. So it doesn't sound to me like the problem is the dr.

You need help. It is better to recover from these conditions with the help of a professional team.

What would you advise the young people you work with? Should they give up?

Mari