I had to go through several psychiatrists (some were a joke) over many years before I found the right match. I’ve been with my current pdoc for 15-17 years now and he’s a gem. He always solicits my input before changing meds.
It sounds like you need a new psychiatrist or to have a serious talk with the one you have now. Don’t give up. The right match for you might be right around the corner.
Hang in there.