spikes, what you describe sounds stressful and would be extremely frustrating to me if I made no progress. Perhaps your planned talk with your psychiatrist is a very good idea.

I don't know your history with medications, nor would I ever know what will eventually help you. I will say that patience is necessary in finding the right medication(s), but knowing when the time comes to make a change is also important.

I know frustration sometimes makes us want to just say "To hell with it all!" but I warn you that such rashness can be dangerous. I know of people who impulsivity gave up medications and experienced a seemingly miraculous honeymoon period, only to find themselves worse off than ever not too long after, or even worse. It's safer to make changes to treatment while still on treatment with the guidance of a doctor than to find onself "naked" and "exposed", in a sense.