Everybody, thank you for your input. Hamster, I metabolize meds so fast that I need higher dosages of meds. ALL of my meds are monitored closely through bloodwork. I am well within the boundaries of the Depakote. As for the Seroquel, the pdoc realizes it is a high dose, but we are going aggressively against the hallucinations and voices. As I said, I am treatment refractory. Meds, no matter how much I try or how many combinations I try, they either work for a short time or they don't work at all.

I appreciate all of your concern and input. I spoke with my therapist today and we've worked through some issues. I have an appointment with my pdoc on Thursday. Inpatient has not been ruled out, but I'd prefer to try something else if possible.

Thank you all.