Sending hugs to you, too

I'm sorry to read that your dystonia is back and that your dental surgery resulted in a severed nerve. That sucks! Do you know if/when the nerve will somehow "repair itself", if that's possible?

Fifteen medications is indeed a ship load of medications. If I recall correctly, didn't you write recently that that cocktail contains multiple moodstabilizers and multiple antipsychotics? If so, I can imagine that you could be very sedated/tired from them. Low motivation definitely comes with over sedation, if not also with some depression.

No matter which psychiatrist you are seeing (IOP/PHP or your regular outpatient psychiatrist), perhaps it's time to ask him/her if anything could be eliminated to improve your situation. There was a time when I was on 3 moodstablizers and 3 antipsychotics, plus a benzo all at the very same time. Unfortunately it took kidney damage to finally get my psychiatrist to eliminate one of the moodstabilizers (obviously Lithium), but when he did, slowly, my quality of life actually improved. One of the antipsychotics was stopped because of dystonia. One of my remaining antipsychotic dosages had to go up, but that was OK. Then one of the two remaining antipsychotics gave me severe akathisia. I lived with that for a while, but eventually it had to go. It was rough going off that second of two remaining antipsychotics, but I managed with some hikes in the dosage of my last remaining antipsychotic (Seroquel XR). Now I'm only on two moodstabilizers and one antipsychotic. Progress and better quality of living. It takes time to prune them, but it can happen.