I think the mirtazapine was screwing with me. I haven't taken it the past three nights and I actually got 2-5 hours each night. It made me both super hungry and nauseous (but not tired, moreso wired if anything) so sleeping was harder even though I was prescribed it for sleep in the first place. I think it was contributing to more intense than usual SI too because that's back to baseline now.

I see my pdoc tomorrow and I'm going to ask to go up on the Seroquel XR. I used to be on 20x the dose I'm on now, so it really doesn't have any kind of effect at 50mg I don't think. Maybe my brain feels a little slower/calmer? I mean, it does but idk if that's my baby dose of Seroquel or skipping the mirtazapine. I think I'm going to ask for a non-benzo/non-AP PRN too, probably hydroxyzine. It doesn't do a whole lot, but it was better than nothing when I was in the hospital.