rtemple you ahve a good point there.
Shrinks basically try one med after the other. If, like me, one of the meds happens to deal with your problem, then problem solved, pretty much. If not, they just shrug their shoiulders and say well, let's try another one.
Thing is, they don't know much about the brain. THey know that med X has a good effect, sometimes, on some people, and they think they know what happens in the body but don't know why it works for some and not others etc. Probably to do with the individuality of everyone's neurophysiology.
Since there isn't a good understanding of how neural messages to go make up a human mind, they have no way of knowing how inpacting on your neurons is going to affect you or if it will.
My condolences BTW, I used to be high/crash/high/crash all the time and it SUCKED.