Blue, we really care about you. The other posters are right; at this moment you're probably not doing your job as well as you think you are. First I'd recommend you consider IP, as it would be the safest way to stop the voices and ensure you don't kill yourself.

If that's not an option, you need to be completely open and honest with your psychiatrist. Tell him about the voices, tell him about the "others" and the thoughts you've been having over the past few days. Tell him what you've told us, and he can help you. Tell him about not taking your meds as prescribed. Tell him you flushed your others, not that you lost them on a trip. If you really have balls, tell him about the Adderall and ensuing lack of sleep, etc.

Best of luck to you. I hope you can sleep with the Seroquel, and that it helps calm your mind from the state it's been in. Again, we care - but there's only so much we can do for you.