I think that this discussion is a great example of why you need too be your own advocate
If say through Trial and error you are discovering that something like depression is only mediated by a glutamergic or dopaminergic and that ssris or snris have not helped you in anyway THEN YOU WILL KNOW too a degree what the issues are related too
But TREAD CAREFULLY I have been more and more dissapointed through out the years as it seems like im reading jama and or pubmed articles more regularly then my Mental health care team has , it really gets my gears going when a doctor has never heard of several Viable albeit lesser known (send seemingly "popular" with the nootropic crowd) treatments
It isnt very progressive but the best idea that has been put too practice by ME has been this
Discuss what HAS NOT helped you ... Research research Research and if you have an idea of something you would like too try First present the symptoms to the doctor , then wait persist with the symptoms ( and if you want something in particular become very familiar with the use and reasoning for prescribing the drug) and when you feel it is right print out as much Verifiable information on treatment and effects as you can find and present them too your doctor
In the USA doctors are very hesitant and seem almost unwilling too treat Depression in any other route then serotonin bases meds while in the past few years this has changed too a degree ( doctors arent so safraid of say wellbutrin or stratera ) its still a pretty sad state of affairs
and sometimes a little healthy manipulation can a go a long way in these situations
at the end of the day Be your own advocate Own your Problems but Do the best thing (including treatments) that is best for you