For the past few years I've been struggling to figure out whether I have some sort of personality disorder (no doubt something that can be found in the DSM - Diagnostic and Statistical Manual of Mental Disorders) or whether I have situational depression. Because my situation has never improved I can't figure out whether I need a psychiatric consult or not and I don't want to ask my Doctor to refer me for one because last time I did this, he yelled at me and he makes me very uncomfortable as it is. Some of my past behaviour makes me think there's something more to this, but then again a lot of my current behaviour makes me think I'm just depressed about my situation. I'm really struggling with this and I don't know what to do. I'm on 20mg of Fluoxetine at the moment and while I am just about holding it together I am far from okay. What should I do?