This is an old thread, but a very good question. My way of fixing things wasn't working, so I entered detox and rehab to 'break the chains' and learn new coping skills.
It was intensive therapy at first and trying different meds to find one that worked the best. I was inpatient for 60 days, so I was off the streets and in a controlled, safe setting.
It would be irresponsible for me to give a yes or no answer to this question as we are all different and react to different meds, stimuli and therapies differently.
Some don't react favorably to chemicals and they may try alternatives like ECT with success. I asked my doctor about hypnotism and acupuncture, but those are questions outside of the medical realm and she was not qualified to give an answer. I respected that.
I began on Buspar and Imipramine about 30 years ago. I am on Sertraline (Zoloft) now. Attending therapy while undergoing medication is very important. You can't just take a pill and hope for a better place.
Monitoring moods and adjusting meds is part of the therapist/doctor job. I was asked if I felt any desire to self-harm or harm others at every session. I didn't, but I think they have to ask that if it is listed as a possible side-effect of the med. There are so many different meds nowadays, the suffering must have been horrible in the old days without them. You would just be locked away in some (in)sanatorium somewhere and the family would try to forget about you.
I didn't notice a change in myself as much as those around me did. It was heartening that they saw and heard an improvement, where I really didn't feel much different.
The Zoloft keeps the incessant self-chatter inside my head to a minimum. This helps me to focus and concentrate on what I need to do. I still write myself lists on priorities and keep it with me. I cross them off as they get done and transfer some to a new list as the paper wears out.
Before, I was all over the map and clueless on what I had to do next.
It takes time, but it should get better. Dreams may be intense at first, but I was told to think of it as my brain getting better. I didn't remember or care about dreams much before. It was as if I didn't even have dreams.
Best of luck to you.