For me, the going-back-on-meds decision is one made not only by me. My SO has input as well. I can tell when the CBT stuff I do isn't working, and when it is out of my hands because I start feeling like a raw nerve--every little thing provokes me. Then, I ask my SO--"Hey, have you noticed that I've oversensitive lately?" And depending on his response, it may be time to talk to my doctor about going back on medication.
Your last paragraph really struck me, lurkette, because I think you're doing a healthy thing by keeping up with the CBT stuff, but yes, there is a point where CBT alone is not enough. It is a struggle to draw the line in the sand, so to speak, about meds, and I think the situation is so highly variable between people that it's hard to say one way or the other what's right, because we all have our different lines in the sand.
I would probably talk to some of the people you hold dear, because I know they're wonderful and supportive, and I have a feeling that with some input from them, and their observations, you may be able to better come to a decision for yourself about the next step.
Good luck, and may I say that I am DELIGHTED to see you around these parts again
