I'm trying to figure out what my core problem is to better get treatment. I am under medication management but don't think I've had any adequate history taking or testing (except for ASD when younger) which I plan to ask about soon.

I have diagnosed ASD, ADD, GAD, and MDD. My biggest problems have always been irritability, anger, suicidal ideation and anxiousness. Treatments so far in my life (starting from my teens) would fix some of my issues and make me more functional, but I've never considered myself functional/in a good place. For instance, I've never worked and dropped out of school as a young teenager.

An example -- SSRI buspirone in the past. Helped my anxiety enough that I could now leave the house and car (physical anxiety symptoms, not mental). Fixed my depression enough that I wasn't wanting to kill myself all the time. But I still was very irritable all the time, easily overwhelmed, and trouble with tasks. I changed to SSRI bupropion and feel the bupropion helped my depression even more but my mood/interaction with people more irritable.

I got off my medication to switch them after they stopped working enough and became even more severely depressed.

Right now I'm on an MAOI and after a couple weeks at a new dose I suddenly felt good for the first time in... forever? I immediately became worried about hypomania. I talked to family and none of them indicated I had any signs like rapid speech. No spending, risk, or wanting to stay up all night (sleep trouble has been a med side effect and I'm very tired from it) and no history of any of these things. I just felt good and could deal with stressors suddenly. But after 3 or 4 days I'm suddenly not doing well again and dealing with a lot of anxiety and irritability.

I feel like this could be a thousand different things -- autistic agitation, bad personality, anxiety, untreated ADD, or bipolar spectrum. Any experiences or pointers would be appreciated.