Asperger's disorder in kids is now linked to low levels of cortisol, a British study found. A client diagnosed with bipolar illness, who was well managed on depression meds, now needs a new one, due an extremely stressful year, financially and emotionally. My point? I have heard this said before and now am appreciating the full extent of the following comment. Some illnesses are more complex than they seem and evolve as the person does over time.
This means, what worked in 2007 may be different than what works now in 2009. Just keep this in mind when you hear comments like "oh, its all in your head, doctor's just push medicine, etc." The mental health field has integrity and is fighting for your well being, please trust that. I happen to know some professionals who I am privileged to say are wonderful, ethical top notch people. I continue to try to read psychiatric journals each month to keep on top of trends. I have done this for years to keep abreast of a everchanging world and dynamic field.
The following statments are trends I notice most  in the literature. Meds plus psychotherapy work best.  When meds dont work, please try others. A doctor's relationship (whether psychiatrist or psychologist) to the client is the key ingredient to having the person heal. That being said, what I notice to is no matter how much I read and try to stay on top of this field, I realize how much I don't know.