It’s such a process, trying to figure meds out. It was much simpler when I was inpatient. Right now I’m trying to function in the real world and be a decent father and trying to give the meds a chance and do my therapy and all the other things I know I am supposed to be doing and not kill myself . My psychiatrist at home doesn’t agree with the meds I’m on which were prescribed at the inpatient facility , but also doesn’t want to change what I’m on. It’s all so frustratingHopefully not 6 different types of psychotropics! (If that’s the case, sometimes that’s how it ends up) then you’re essentially on a gamble of “does this work, for this individual”, but there are no actual studies that will clarify how those 6 drugs interact.
I’ve tried a lot of different psychotropics (about 25), and a lot of different combinations of psychotropics. We did finally get there with a combination that helps me immensely (one a-typical antidepressant, and one anti-psychotic). But there was a lot of trial and error, and several times where it seemed a drug might be helping, but then it became apparent it really wasn’t doing much when my mood stability was really tested.
If you haven’t already, you can now do a genetic test specifically to assess how psychotropic meds will be metabolised by your system. That helps rule out drugs that are likely to be unhelpful, or simply bring a crap load of side effects with no real gain. That was really helpful for me.
It’s not a quick process to change meds. It means titrating off stuff, then the 6 week wait to see if the new one works. You can bring that down to closer to a 2-3 week turnaround if you can just go inpatient for a few weeks and do it under supervision, which is how I did my meds testing.
Good psychotropics can make life completely different. And with just one or 2 (rather than 6), it’s a lot easier to modify your dose over time depending on whether your mood needs more or less support. But it does sound like your cocktail isn’t working for you right now, and it may be worth a conversation with the prescriber, or seeking a second opinion (I did that multiple times - it was always a worthwhile exercise).