Am on 200mg lamictal am and 50mg seroquol and 100mg trazodone pm. 

Had been stable for quite a while but over the last 2 weeks have struggled both to sleep, wake up or concentrate and everything is making me cry.

I have caring responsibilities and cannot afford a depressive slump. Vietnam doesn't have a professional body for psychiatrists, and, in any case there aren't English speaking ones in my city. So I'm under a Gps care. My psychiatrist titrated both quetiapine and my trazodone down about 6 months ago, do I ask to have them titrated back up now, or do I wait?