I have been under treatment for major depression for over a year. The treatment has been exclusively pharmacological in nature. It has not involved any "talk therapy" beyond the 15-20 minute medication check for which I see a psychopharmacologist once a month.
When I first started receiving treatment, I know I wasn't "up" to participating in psychotherapy. In the early months, I could hardly speak at all when I would see the doctor, and, for his part, he didn't recommend or even mention psychotherapy. Interestingly, although the medications I'm taking have been allowing me to feel a bit more at ease in his office, he still hasn't recommended psychotherapy.
I know that medications alone cannot solve all my problems (or can they?), and I remember, from a long-ago "failure" at psychotherapy with a different doctor, how off-balancing and frustrating that experience was for me. Yet my problems remain, and they trouble me.
So what do I do? Wait till the doctor advises p'therapy, if he ever does? Ask for it? Forget about it entirely? How do I determine what kind of help I need from here on out? How does my doctor?