With regards to the meds, would you consider seeing your psych about a change? I was on huge doses of AP and AD at one point (like you, above recommended of AD) and I still felt terrible. It's taken a while, some juggling and a few wobbles, but we seem to have found a combination that works well - I function well and things are generally good. Psych meds are notoriously difficult to get right, but there may well be the right ones out there for you.
With the psychologist, how's it going? I had CBT for over a year and it worked wonders with both my self-esteem and some other difficult thoughts that I get. I still slip up sometimes, but am more able to challenge things and put them into perspective. From what I've read, you're still in the early stages of therapy. Do you think you could give it a bit longer? It might help more thank you think.