Me,
I had a real problem with Lexapro making me insomniac. I had to lower the dose. It was days and I never slept.

I do wonder, are you seeing a specialist for the meds psych wise or is the pain doctor putting you on the all the medications.
I have to admit, my daughter was a a few, but not that many and not that high of a dose.

She was a chronic pain patient also. But, only one doc was making it seem her pain was from the emotional problems making it worse.
He pain was making her emotional problems worse is what it was.

How can one function in pain, then they try to medicate on the psych meds to help nerve pain and end up not giving the inflamatiries,, muscle spasms, or pain medications.
OR, is a PM pain doc of psych doc????

I think as difficult as it is you need to one, find a new pain doctor, and second see a specialist that perscribes for bi-polar,

One concern I have is when the meds made me so insomniac, could this be some of your problem.

I saw a specialist, chronic pain psychiritrist many years ago to rebuild my life. It took me about two years to get to the point I actually went back to school, retrained by getting my BA in criminal justice and sociology. I was a police cief, I loved my career, worked so very hard to attain the job....13 years of applying before I was even hired as a first female officer in the area.

I sure never wanted to be injured and out of work.
Then the anxiety/panic, the post trumatic stress, I was a mess. It is not a picinic, it is a merry go round...but isn't life?

So I would find someone too that you can sort out your thoughts, help focus on a plan, even a minimal plan...and to review the meds, consider if any are causing an escalation in your symptoms.

My daughter had psychotic episodes from Effexor, she had several voices telling her to contridictory things. She also had visual where things were happening not real in front of her. Like a plane Superman saved during 911had to be found by me to help right history..Also, paxil, proza SSRI had kept her from peeing, it wouldn;t allow the brain to trigger the release to pee....

So all the meds do not work for everyone. Some work against you instead of helping, others work wonders.
I did biofeedback, lots of talking, and figuring out where do I go from where I was.
I would not be the person I am today without the help of the psychiritrist I saw...he was a friend, truely inderstood those in chronic pain,
I was very lucky.
I hope today you can find some peaceful rest...
Dianne