Yeah, that's pretty bad.

Like you, my ratio was fine, but my HDL was so high that it was a concern.

I have familial hypocholesterolemia and I'm pretty sure my psych meds were making my cholesterol much worse. It sucks.

Sometimes you can't do anything about the cholesterol unless a psych med is causing it to be high. In my case, I've never been overweight, so weight loss wasn't an option for me. I just went with the Atorvastatin/Lipitor route, which isn't too awful for me. I'm already taking psych meds, so one extra tiny pill isn't a problem for me.

Was your HDL always elevated? Do you think it's a diet thing or maybe caused by something else?