My most up to date report is from the time of the therapy a number of years ago, unfortunately. The CAA stated that, if necessary, they will arrange for me to have a psych evaluation as part of this process. If that were the case, I would certainly feel much better about my chances.
The current decision just feels like they've unnecessarily rejected my application out of hand.
I've noticed that since I last phoned the CAA (about a week or so ago), things have changed with the phone lines such that there is now no way for pilots to speak to anyone in the aeromedical department directly unless it's specifically to discuss a change of SOLI or to book an appointment with a consultant (those are the only two options that will connect you to someone, the other will just give you an automated message about asking your AME or checking the website, then hang up).