Not trying to be condescending. But try some lifestyle changes. Take you diet seriously. Find some exercise you enjoy. It sounds simple but that stuff helped me more than my meds did.

Honestly for me, it took years to find a stable medication regimen. After lifestyle changes didn’t help and I was still in/out of hospitals for SI and SH for 2 years I had to try medication. Took another two years of hospitalization, and 5 years since to get on a real regimen. It can be painful and time consuming and disheartening but when you find the right treatment life can be so much better. I took over 60 different medications, from lithium, to Prozac, to amitryptyline, and all sorts of stuff .. all different doses and combinations - and it sucked! I’m not saying medication is right for everyone, but if you have changed lifestyle, found effective treatment (therapy styles, outpatient therapy, etc), and still see no improvement then you may benefit from medication. It can take awhile as I said, but no one deserves to live life in a constant negative space - and medication can help. Advocating when you feel a medication isn’t working, asking about other medications/treatments, and being honest, all are things to help the process of finding the right medications and dosages. Took me in total 9 years but I wouldn’t change it for the world