Sorry to hear of your difficulties, but I would ask you to ask yourself some questions:
1. Have you gotten back to the prescribing doc re: your meds? Not all meds work for all people . . . .sometimes it is the type of med, sometimes it is the dosage, sometimes it is the combination, etc. but only your prescribing doc can help you . .. have you changed your meds? have you had them reviewed because sometimes meds that work for a period of time, well, the body becomes accustomed to them and develops a tolerance?
2. If you think your practitioner is not taking your concerns seriously or if the doc prescribing is not well experienced in these meds, ask for a referral. Now, this is not to trash family docs, but sometimes family docs rely on what med reps tell them, etc. So you may need to find a specialist who combines meds with counseling to identify your triggers and help you to manage them.
3. Have you been able to identify your triggers or what is going on in your life to create the need for meds? You have a degree . . . are you concerned about going out into the work force? Are you anticipating playing what if scenarios and coming up with what one writer calls "catastrophic living" plans and that is creating anxiety? Has something happened in a personal relationship? You don't have to tell us unless you think we can help; these are just questions to ask . . .
I know that this may not help, but all of us at sometime have experienced some type of the feelings that you are describing . . . .these are warnings that, on the one hand, the meds may not be appropriate and, on the other had, the need for counseling . . . meds usually deal with the symptoms, but counselling with the root causes . . . .
As for your parents . . . . you are not a burden . . . you are their son and they want the best for you . . . you are probably feeling that way because of where you are right now in the process of recovery . . . .at 23, your brain, like all of our brains, is still maturing as it usually takes to around the mid 20s so this is a key time to get the interventions that you need . . . .if you are not improving, then become your own advocate . . . not all therapists and therapies work the same for all people and you may have to try a couple to find one that matches . . . yep, I know, it is a frustrating process and discouraging but the one thing you need to recognize is that you are showing your strength of character that you are reaching out for suggestion . . . . during the day, no matter how difficult it is, scope out very small tasks to do to give yourself a sense of doing something while you are waiting for your appointments . . . .nothing big . .. walk 5 minutes out the door in one direction and turn around and walk back (exercise helps even though I had to push myself to do it in the beginning); write down what you are feeling even if it is the same feeling in every entry but try to add such as the reason why; check what you are eating and try mindfulness . . . yep, all of these are frustrating in the beginning and not quick fixes but you can build on them . . .
One final thought . . . .at 23 you have a great future . . .right now, you need to focus on getting better and rather than waiting for the next time you can sleep, fill those hours doing something . .. anything . . . .make it physical as much as possible rather than just staring at the television or the computer . . . make a list every day of everything you do even if it is brushing your teeth. . . focus on now and how doing something is an accomplishment . . . .anxiety and depression are two sides of the coin and each reinforces the other so by managing one, if not both, helps to manage the other . . .
Look, no lies from me . .. it is a process; it has speedbumps . . .my recovery especially in the beginning was discouraging but I figured that I was going to try and convert my anxiety into, if not a friend, a distant relative who comes to visit, overstays his or her welcome, but is manageable . . . .yep, I've had setbacks; I've cried; I've been frustrated, etc. but each time I restarted, it was easier as I had more experience with managing it . . . .you are strong so you need to focus that strength on staring the process . . . I wish I had magic to help you, but I don't or I would use it on me . . . but I do know that recovery is possible and with recovery comes renewed strength and with renewed strength comes living life rather than simply existing . . .do come here as often as you like . . .we have loads of great folks who are here and more than willing to share their experiences and thank you for sharing yours . . . the exchange here is truly where the strength of this community lies . . .take care, kc