Yeah, I would do this a lot in the past (and it's hard to deal with even now). I would switch things, raise dosages on my own, and it never ended too well. I learned that I should follow my doctor's instructions (pretty much exactly). But that's not to say you don't have a voice in the doctor-patient relationship. Of course, the patient ought to have a voice, and an important one, at that, because it's you who is dealing with the effects of the medications, you who is dealing with the symptoms of an illness, etc. I think the main takeaway for me is that I need to be super assertive during psych appointments. And I take them really seriously now (the appointments). Anyway, it might be a good idea to just list your meds and keep a kind of log or journal about how you feel on them on a daily basis. I do this pretty much every day. Just because I cannot stand when my doctor and I make a medicine switch that is based on pretenses that don't really reflect the facts of how I feel.