I feel the therapy doesnt work for me when I am on medication. I have only been able to use the techniques and strategies in the program when I am off medication. You just have to stick with the program and try and get all the techniques and strategies cemented into your brain. I have found it really hard to wean myself off ssri medication that doctors put me on for my sa then when I go on it I lose track with my therapy and stop doing it. You are better to not take medication while going through doctor Richards therapy program.