I can not make that recommendation because either way is likely to work, but you need an evaluation to get the best recommendation. If your hormones are low, then you should try that first. There are also newer drugs that are less toxic that could help you so talk to your doctor about these alternatives.
Dr. Gould, I do not have insurance or a regular doctor but have made an appointment with a health department and would really appreciate your advice whether I should go on hormone replace, back on Zyprexa or something else. Thank you.
Medications typically only manage or mask symptoms. Maybe psychotherapy would be of some benefit.
I hope you get some good advice. Also, good luck for your appointment.