Wow, it's been a year! A couple updates...
The psychiatrist I went to knew his stuff and did a bang up job on his report. It was 4 months later than promised with tons of excuses why, but it finally got done and delivered to the FAA around Thanksgiving.
Last Thursday when I randomly checked MedXpress, it gave me a status of "in review".
I checked this morning and it said decision in process. Checked again an hour ago and it is APPROVED!!!
No cogscreen, no IOP. Still attending AA regularly and will keep doing so regardless. I even chair every Friday at our group.
So, my journey was just under 2 years long. I didn't BS anything, was willing to do whatever the requirements were, and I fully believe that level of genuine ownership and admission/honesty favored me. And, me AME and HIMS psychiatrist are both absolute rockstars.
If you have a similar situation, just be patient.