I can't help but wonder at the first doctor you saw. She seems pretty bad! She seems to focus on money a bit too much. I don't know in what order you'd do it in, but I know some HMOs (like mine) provide therapy at a more cost effective price. You also don't have to accept the first person you talk to. Don't be afraid to "shop around" for a doctor, you need someone who you can really make a connection with. I think establishing a relationship with a doctor is more important than the meds question. If once you find someone you like who thinks you should take meds, you will know whether or not to trust in their decision. I know how easy it is to get stuck in the house, and really, there is no easy way to will yourself to do it. Getting a job might help in that you are obligated to leave, and get you in habits that are better, but I don't know if that is the ultimate solution. Walking the dog is definitely a start, and once you've made that a concrete habit that will help. Also, as a thought, I couldn't imagine working at an animal shelter. The idea of having to watch all those poor animals suffering, and so many of them being euthanized makes me sad. I don't know if it was bad for you, but maybe you need a kind of job or kind of work environment that is much more positive. I hope you find someone who you can talk to about all this, and we are always here for your support. Good luck, you will persevere I know it