Did your doctor tell you why he wanted you to stop the Seroquel? (I don't know if that's one of the atypical anti-psychotics my pdoc discussed last time, can't remember.) It might be that the idea was good, but that wasn't the specific drug he would have chosen, or he could just be one of the doctors who prefers to use the fewest possible medications at any given time. If he didn't explain his reasoning, it's worth asking him.

At any rate, what I really wanted to say is much simpler than anything else I've seen in this thread so far:

If you're still having trouble on the 30mgs of Lexapro, I'd suggest you write down a list of all the symptoms that are still bothersome for you, and take it to your next appointment to discuss with your doctor. I've done this, and having a written list is very helpful. Without it, I tend to forget things that I really need to get help with, and end up more frustrated than before. The more information your doctor has about your daily functioning, the better the choices he can make for your treatment. Giving him the most complete information can help him choose a hammer for you -- or a ratcheted socket wrench if that's what's needed. (Hey, I like tools, so that's an analogy I want to keep working, 'K?)

Also, how long until your next appointment? And did all this come up in response to something that happened? Or is it an ongoing problem? That can make a difference, too, since it's better to treat symptoms that come up only in response to short lived stressors on a PRN basis, so that you're not loaded up on too many meds all the time.

As Emily said, this isn't trying to force you to do anything, or to criticise you -- this is me trying to reach out with some suggestions based on a post that touched something in me and made me want to help, if I could. If you don't find it helpful, please do feel free to reject that concern.