If the fluoxetine isn't working, you need to tell your doctor so you can work out a program of change. It's not a waste if the Dr feels it isn't right for you, because you can rule out that drug. But you're not going to get better by pretending to the doctor that they're working. And you need to explain to the counsellor that you wish to continue the counselling sessions, and commit to it - if not, you may need to go through the referral - again talking to your doctor