The only antipsychotic that has been effective for me is lithium. But it kind of turn reality bland and grey, if that makes sense. Still better than believing that I should be dead. Every antidepressant I've ever taken has pushed me into hypomania, sometimes a dark, depressed hypomania called mixed state, or energetically suicidal as I like to think of it. Which is crazy dangerous. So I just take lithium and try to be as close to normal as I can. Seroquel and geodon were the worst antipsychotics, effexor was the worst antidepressant. Adderall nearly sent me into full mania. Ymmv, don't use the internet in the place of a Dr. But that's my experience.