At first the psychiatrist gently encourages the patient to stay on medication. Only when a great improvement in the depression has occurred does psychotherapy begin. Perhaps the cause of the depression can be discerned. Certainly help with current behavior can be given. People who are mentally ill are victims.
Mental illness is something that happens to someone.
No amount of right thinking, visualization, or acts of will can make someone well. Medical records are very confidential. One need not fear their being made public. The truly compassionate person will not condemn anyone who sees a psychiatrist. Those who criticize and blame are sadly in need of education.