What should I do if psychotherapy or medication doesn’t help me?

The simplest thing you can do to increase the effectiveness of your treatment is to get both medication and psych otherapeutic treatment at the same time, if you are not already doing so. Participation in both types of treatment will usually speed up your progress as well. Also, failing to reduce stress frequently holds back depressed individuals from full recovery. Even the best medications and psychotherapy may not be enough if you continue to work twelve hours per day, stay in a damaging relationship, or persist in impulsive and addictive behaviors. It is common for depressed individuals to take on more stress in their lives as soon as their depression starts to go away. As you can imagine, this is sufficient to torpedo any treatment progress. Try reducing your life stresses, and take advantage of the relaxation exercises in article: Stress Reduction Techniques.