The symptoms that you described are concerning. You are taking medication but continue to experience significant symptoms that are disrupting your life. Part of the problem may be that you are not fully reporting your symptoms to your psychiatrist. If your psychiatrist is unaware of all your specific problems, the risk is that he or she will not treat the correct symptoms.
A related issue is that you are taking a high dose of medication which doesn’t seem to be helping. Again, this likely stems from the fact that your psychiatrist is unaware of what is truly going on.
It may also be that you are taking the wrong medication. Finding the right medication or the right combination of medications often involves a great deal of trial and error.
Since it is difficult for you to speak candidly to your psychiatrist, it might be helpful to make a list of your symptoms to take with you to your next psychiatry appointment. You may even want to take this letter to your next appointment. It clearly describes what you have been experiencing. It’s not unusual for patients to bring notes to their appointments. I would recommend it.
It would also be advantageous to consult a social worker or a case manager, in addition to your psychiatrist. They may be able to assist you with your psychiatry appointments in various ways including advocating on your behalf, speaking to your psychiatrist for you, or finding you a new psychiatrist if necessary, and so forth.
Finally, are there friends or family members who can assist you? For instance, perhaps they can attend your next psychiatry appointment with you and speak to the psychiatrist on your behalf. Utilize the support of others around you. I hope that you are able to receive the help that you desire. Please take care.