Gwen,

I would try to go with a psychologist instead of a psychiatrist. The reason for that is, that generally speaking a psychologist is not allowed to prescribe chemical drugs and therefore tends to be more helpful at listening to the client, being a sounding board and helping you help yourself. Unlike psychiatrists, who are medical doctors with a specialization in mental health.

Being up-front and loud and clear in the desire of NOT wanting JUST a band-aid or silver bullet to make all problems go away, but having a burning desire to identify the root cause(s) of the problem, and then either eliminate or mitigate those cause issues. Repeat ad nauseum that you want to identify the root of the problem and then work back from the deep towards the surface to correct or mitigate the issue.

I have found it to be helpful to use a word picture with terms they are familiar with and can readily understand:

I have a small wound that is seeping a little bit of puss. I do NOT want you to just put a band-aid over this wound and hope that it closes by itself. And I DEFINITELY do NOT want you to close that wound forcible with a suture!!
I want you go ahead and open that small wound a bit more, and clean out all that puss AND the CAUSE of that infection. Then I want you to disinfect that wound. And only THEN work towards getting the wound to close and heal by applying a band-aid or if necessary a suture.
And I am willing to endure the extra short-term pain, as well as do what is necessary to keep the wound clean and dry.

Usually when I use this analogy, it gives them pause and they tend to be more willing to take their time and work with me, instead of just handing me a quick fix and calling for the next patient.

I have been suffering from depression for over 40 years by now. It never goes away! Between flare-ups the depression just goes into hibernation. So I need to constantly be on the look-out, especially at times when it comes creeping and stalking into my daily "routine" instead of scarring the crap out of me by pouncing in with a great big roar.

Also, I am very vocal in refusing to take chemical drugs for as long as possible. But I do accept that sometimes a "pill" is necessary in order to enable me to function and find ways to correct and/or mitigate the root or contributing issue so that I can live without that "pill". I am also VERY vocal about negative side effects, and demand a fix or at least a work-around.
(When I was hospitalized with Covid the hospital food caused me a very serious constipation. I finally refused to allow the laboratory doctor to take any blood samples until the head/chief doctor came to see me. When the head honcho came that afternoon somewhat irritated, I stated my grievance respectfully but very forcefully. It did not take long to receive a dietary supplement that made a laxative unnecessary, as well as a physiotherapist.)

Even though I will state my position and experience loud and clear, I try to do it in a civil and respectful manner. Sometimes I will use quasi-blackmail. And I will also walk out of a consultation. And even though it might reek of blackmail, it does tend to get the health care providers attention. Though usually, when I have to resort to such "extreme" measures, the trust is more often that not shattered to dust. Though I hope that they will be able to also learn from the experience and provide a better service for the next client.

I hope you can apply and adapt some of my experiences to your own situation.

Greetings,
Jessica Nicole

P.S. Please be careful to not dump the baby together with the bath water.