It's a horrible placement, I have it along with the sister I'm closest to. Let's just say we experienced things in childhood and life that seared our very souls.
We grew up very quickly & I couldn't really relate to anyone my age.....they all appeared so childish to me...but that's exactly how children should feel....not this heavy burden felt with the Moon/Saturn Square.
But it made us emotionally strong and it will with you too. While others fall apart in times of crisis, you are able to rise to the event. You tend to keep your emotions very hidden and nobody understands the pain you are in. There will be periods in your life of great depression and heartache. You will feel abandoned at times. Try to find at least one true friend, probably an older mentor or conservative person like a religious or very wise leader that you can turn to at certain times.
Try expressing yourself in a journal, even rip it up afterwards but get those feelings out or it will turn inwards to thoughts of suicide. Some authors have this aspect. You will have to deal with the 'dark dog days of melancholia' but it does get easier as you get older as you realize these times are meant for reflection and healing. I follow a spiritual path but that might not be for you. Reach out to groups that can help deal with gay issues so you don't feel alone.
I would strongly advise against taking meds unless you are severely impacted as they hand out drugs like candy these days and easy to get addicted.
Then you have a big problem with trying to get off the pills.
Keeping a healthy body, routines like going for long walks in nature, reading mature & wise books & poems will help.
I appreciate your honesty as it's not easy at all for Moon/Saturn people to let others know how they feel. They often come across as cold but it's a form of defence.
Here's a good explanation.
Moon Square Saturn
Limitations and restrictions may occur on opportunities and experiences, often created by unresolved emotional patterns. The source of these may be sentimental attachments to the past, to memories, to experiences, and to earlier relationships.
You find it difficult to break free from the past; and previous experiences will influence present choices and attitudes. You may have grown up with a negative self-image, one which lessens self-confidence and also shapes restrictive worldviews. This may come from unsettling and disturbing childhood experiences. Perhaps you put up protective barriers to defend vulnerable feelings from damage; you may have believed you were not loved by your parents, or you were left with just one parent through separation, divorce, or death. Issues of emotional dependency may have grown, and a mother- or father-complex formed, making it difficult to cut the parental umbilical cord when you became an adult.
You tend toward pessimistic attitudes, linked to a reduced physical vitality, emotional moodiness, melancholic dissatisfaction, and depression. Lacking self-confidence and perhaps seeing the world as a harsh, loveless place, you may feel bitter and cynical, preferring isolation from relationship intimacy. Family ties bind you.
https://astromatrix.org/Horoscopes/Planet-Aspects/Moon-Square-Saturn
