I think it’s worth acknowledging that People here often have been brought here after multiple exposures to a 5ari, sometimes the same drug, sometimes a different one.
The reason I say this is that sometimes people say “I never had a problem before” or that a particular substance doesn’t affect them.
One of the moderators here had a crash that he attributes to tofu, which he had eaten many times after developing pfs.
So, with that in mind, I think it’s possible that your psychiatrist’s assessment that your condition is a psychological issue might not be the only take.
I’m sorry this is happening to you, for whatever reason, but it’s entirely possible to recover again, I have had messages from people it’s happened to.
I would guess that it’s possible to have this vulnerability long term and that perhaps the best advice isn’t “get off the forum” and hope it another crash doesn’t happen, but instead to do a few things to help out and to keep helping, even if you feel good again. That way if you do have a problem in the future there might be a better understanding of what’s happening or even a treatment. A sort of contribution to a kind of insurance.
The alternative is that this is a problem that only the worst cases are left to try and fix and you just hope it doesn’t happen to you.