After a break of 7 months, some updates. I've been seen by a PDoc and we decided to try Seroquel as a monotherapy. Questions remain on a proper diagnosis. ASD/Aspergers seems to hold and I surely had very bad depressive episodes that may have had psychotic traits mixed in. Less certainty about manic episodes. The one w/ psychosis wasn't initially triggered by drug use, just worsened whilst ongoing but still it therefore doesn't qualify. Other episodes happened on SSRI.

That said, I started on Seroquel XR 50mg 5 months ago and am now on 50-100mg. Nothing else apart from the occasional glass of alcohol. I often fall asleep before finishing them

The drug felt a bit debilitating at start, but soon resulted in a) much better sleep patterns increased to normal from crappy 4-5 hours b) the nagging thoughts much reduced c) less paranoia d) hard to explain but I see things differently.

I've been messing bits and pieces but going off I sleep less, am more energetic and able to do stuff like driving 1000km+ per day by car on bad roads. Paranoia and thoughts then creep back, but as long as I remain active and don't try to sleep too much, I am fine.

Getting back on feels very sedating but that aside I'm much more balanced. Forgot to mention, I also eat better as normally I am borderline eating disorder.

Side effects some RLS. Not sure if 50 or 100mg are better. One feels little too less, the other too much.

However, reading med lists of others, my case seems quite unusual? Anyone else on low level monotherapy? Am seeing PDoc every 3 months.