Did you have any hypomanic-like (overly active, led and leading (from the front), out of control, "perceptive" and irritable/sensitive, possibly with some euphoria, not necessarily all in equal or even perceptible amounts) symptoms/behaviour/feelings while not taking all those meds.
I'm honestly surprised you don't get very manic using all those drugs, unless you take high doses of Seroquel compared to the rest.
I would suggest you try to manage with just quetiapine/Seroquel and maybe one of those other meds. I'd try just amytriptyline. It has a broad profile, like quetiapine (but it doesn't do anything to reduce (the effects of) dopamine). It also grounds/directs you more than typical antidepressants, being a bit more like a psychostimulant.
If those two don't work maybe try quetiapine on its own and only if that doesn't work try another/one of your antidepressants.
If you have experienced hypomania without meds, a mood stabiliser is indeed a good idea, but try quetiapine first: it also stabilises you mood, it works as a mood stabiliser (too).
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Mania kills cells. Brain cells die. Memories become more reduced conceptually, making more efficient use of limited means. Memories shape our reality. Our memories are more or less split in two by abstractions, conceptual reductions. Mood states with memories, concepts, attached. Memories of pain and those of joy. It causes instability, changeability. Fearing that will leave an emptiness between pain and joy and a greater divide.
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