Hi Bryan,
I'm so sorry to hear that you are feeling unwell.
I don't have any knowledge about adjusting or selecting medications. So what I can do is....
1. Call and consult my psychiatrist friend on your behalf. There's a choice of Joy's friend "Pong" who's in Bangkok. Joy and I used to crash at his place on our Chicago trips.
2nd choice is "Mac" my classmate. He's a very nice guy. He may even let you or Yo call for direct consultation(I hope).
2. I'll ask Mac to recommend an understanding psychiatrist. On my own thought I prefer psychotherapy more than medications, if it has a role. But I presume a lot of doctors do the meds more.
Talk to you more on the phone.
สู้ ๆ in these tough times
with love
Gade