Your questions are all good ones but way out of the range of expertise of nonmedical providers. If you have a complicated medical presentation and are taking medications with competing actions you need someone who is very skilled at prescribing. If your psychiatrist doesn't want to manage all of your psychoactive meds then you may want to find one who will. There are many ways to approach your problems but you need someone who is very experienced. If you live in a large metro area or have access to a university affiliated teaching hospital you may be able to find a psychopharmacologist if you can't find a psychiatrist who is willing to work with all of the meds.   Rick Wirtz   Rick Wirtz is a Psychologist, not a psychiatrist or medical doctor. Although the majority of Psychologists are not authorized to prescribe medications or give you specific advice about them, they typically have experience working with patients who take a variety of medications. The response above is not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only and primarily to aid you in having an informed discussion with your own physician.