Yes, it js confusing. As to what I need?
Support. A means of articulating my emotional experiences absent jokes and a place where those experiences are not shot down, denied, overwritten with the emotional experience, not silenced. Validation. Empathy. Someone who can stop me from intellectualising my emotions away and learn to trust them instead. Company as I come to terms with the most difficult truths I have ever had to face.
After a lifetime of being consistently given the message that I am the literal pathology, I came to understand that I am not the pathology. I am a person and my anger and my terror and my sadness are real and valid and an unending grief. But if I numb myself out from all of that, I lose the capacity to love as well, at I believe that that is a capacity that can be developed, and that this is work that I need to do, for the sake of my DH and our future children should our marriage survive.
My current therapist comes from a background more in expressive sorts of therapies and not in analytical nor behavioral ones. So bit by bit I am leaning. Psychiatry is a system that sort of kicks in when one's behavior falls outside the bounds of what is culturally coded as acceptable at the time, in extremis this being when one is a risk to self or others. Risk to others is forensic psychiatry, essentially. This help is sort of foisted on me when I am not functioning to the level that other people are sufficiently concerned about me and I do not know how I can possibly live through the next moment. I accept this help because, in those moments, it removes me from being the responsibility of the people who are not going to stop caring for me but who are not able to do it any more. The medication helps with the sleeping and the depths of despair to the point that I do not feel safe alone, and I would return to psychiatry were I to feel that way again. If one spends long enough out of the system, it is a fight to get back in. One typically has to reach crisis before support is offered, which is a function of psychiatry and limited resources.
Does that help you to understand?