I do understand. I only ever took one med at a time and I remember the process of making changes feeling overwhelming at times. I wish I knew more about these meds and their interactions. There is a lot of good information on each of them individually, but we're missing the data to analyze the efficacy of specific combinations. Furthermore, the results are different for everyone and it is almost impossible to know what is best here. No offense to your doctor, but I feel like you're on a bit of a fool's errand.

Your doctor is the one with the expertise in prescribing medicine cocktails. Perhaps leave the decision up to your doctor at this point. I think sometimes med decreases should also be considered. You're on a pretty heavy mix. Sometimes less is more.

There's of course nothing wrong with going with your gut. Set your intent to make the best decision you possibly can and then mentally prepare yourself for the possible outcomes. Try to become comfortable with potential issues coming up and be ready to invest the time needed for things to work themselves out. You already know this can be a long and sometimes painful process, so hold on tight and trust that you're making the best choice you can. Your doctor gave you an impossible decision as success relies on you being able to know the unknown. Don't put too much pressure on yourself and also don't expect your doc to nail it the first time around. Do what you can and then spend your mental and emotional energy on things you can do that will absolutely improve your situation. Practice mindfulness. Continue doing your therapy work. Eat well. Exercise. Focus on coping skills that are enjoyable.