You point out some needed omissions in many articles, how many factors like race, class, gender lead to psych meds as the option presented because any other option is out of reach (DBT, psychotherapy, trauma therapy, EMDR) or considered not effective (meditation, alternative diets). Its also very difficult to get prescribers who will consider allowing a patient full control of their med choices(what med, what dose, the ability to discontinue). People should always be presented with a short term med therapy and given the choice to discontinue and see how it goes. People should not have to accept a med that causes great weight gain, sex effects and/or metabolic effect. I also have issue with the way meds are presented with the biomedical model that leads people to assume meds are a life long need and you have no way to address this ‘illness’ but meds. This leads to hopeless and rejection of other options. There is also the notion that the public thinks if someone has mental illness, they must be on meds and if they are not (are you off your meds?), that makes their dangerous and people gas light you. There is also the little know idea that meds can stop working, were never helpful in the first place, or are more trouble than they are worth like in your case. It makes sense to me, but I can imagine family member or prescribers insisting how your weight gain or other medical issues are less important that your mental health to shame you into taking it. This leaves out the idea of trauma as a major factor in mental health and how meds don’t address that and get nearly no treatment.