Many of my patients come to see me because prior therapies offered only temporary relief from prior treatments and because they prefer to see a doctor who can prescribe medicine and provide psychotherapy. While medications can be very helpful, even essential, they do not solve your problems in living or help you to lead a life worth living.
Depression and anxiety are symptoms that may have numerous underlying sources that we can uncover together. I find that this process often leads to lessened or no use of medications. On the other hand, sometimes finding the right medication or combination of medications is extremely important.
Some of the difficulties I can help you with are self-defeating tendencies, dissatisfaction with self and others, various kinds of self-destructive behaviors, repeated maladaptive patterns in interpersonal and/or work situations, sexual inhibition. You may struggle with feelings of emptiness, boredom, problems with intimacy or fears of being alone. Perhaps you have mood swings. I have special expertise differentiating bipolar and borderline personality disorders. This has important implications for your treatment. Over the years I have learned a specialized therapy called Transference Focused Psychotherapy (TFP) which is especially helpful for borderline and narcissistic personality disorders.
Sometimes a brief therapy suffices - or even a series of consultations. To undo long-standing patterns, and developing better ways of coping and living can take more time, and more intensive work. I encourage you to seek consultation to find out what kind of therapy or medication works for you, even if it means you have to invest in yourself. At times the person who really should be in treatment refuses to do so. In that case treating those who are willing to get help can improve their lot in life. Sometimes by getting the help you need helps your loved ones - even the children you don't yet have. This is especially true to people who suffered trauma (sexual or emotional abuse) or neglect.
The worst thing is to waste time that will never return.