I understand why he wants to treat the hallucinations; that's not a fun symptom. But he shouldn't laugh at you.

When I tried trileptal it was sooooooooooo sedating and I was cutting it down to 1/32nd of a pill. My pdoc didn't laugh except to say I must be the best at use of a pill cutter in the world and then she said I was too sensitive to it and took me off it.

You've been on Risperdal and Seroquel right? So you still have Saphris, Zyprexa, Geodon, Invega (related to Risperdal), Abilify, Rexulti (brand new med that is a 2nd generation abilify), caraprazine (don't remember the brand name, it is REALLY new), and Latuda left of the atypicals. And some people do better on an older med. I know it is overwhelming to think of all those meds but hopefully you'll hit the right one soon. Abilify is less sedating and since that seems to maybe have been a problem perhaps that would be something to ask about? I didn't find Geodon excessively sedating although I think it did help me sleep at night (and it is weight neutral which is nice). Seroquel has some kind of cardiac side effect I know little about but maybe that is what you've had. I think Saphris has a similar effect but you'd have to ask to be sure and of course it would only matter if THAT side effect is the one you've had.

Keep advocating for yourself. There is nothing wrong with wanting to start meds slowly. Your dr should not have a problem with that. I've certainly done it numerous times and I'm on a few meds at low doses because I can't tolerate more but the tiny bit helps some; in contrast I'm on an enormous dose of Seroquel. So it's ok if they have to personalize your meds; that's what the dr is there for and why he is an expert.

If you don't think your pdoc is taking your seriously you may want to consider trying another. There is nothing wrong with that.