Thank you for extra information.I can understand that it might be confusing for you to have what might appear as conflicting psychological reports.But, if we look at the reports the contents of the reports reflects the discussion we have had in the last few days.
Now coming to some of the symptoms you have mentioned might appear like negative symptoms of schizophrenia. It is important to note some negative symptoms of schizophrenia.but, you need to know that some of these symptoms can mimic or confused with depressive symptoms.
The negative symptoms of schizophrenia include(please not that these are only some symptoms and list is not exhaustive).
Find little or no pleasure in life. You may not enjoy things you once enjoyed, such as playing sports or video games or visiting with friends. This is a common symptom of schizophrenia.
Feel like you have no emotions. You may not smile or frown, make eye contact, or use other facial cues that show how you feel. Or you may have emotions that don't make sense to others, such as becoming angry with strangers.
Have a hard time focusing or paying attention. You may not understand how to use information well and feel confused. You may not have whole thoughts.
Not be interested in succeeding or meeting goals.
Not take care of yourself. You may not bother to wash, do laundry, or clean your living space.
Not talk or make only short statements.
Have a hard time starting or finishing tasks. These include everyday tasks such as eating, bathing, or grooming.
Now coming to the medication and management ----The medications you are on are helpful. If you find the escitalopram helpful but not at 20 mg dose, you can not increase more than 20mg. More over you have told me that it wasn't helpful for all your symptoms in the past. Clomipramine is helpful obsessions and low mood.we are also aware that sometime depression can occur following an Schizophrenic episode and clomipramine is helpful. The other medication i have mentioned the rationale why your Psychiatrist have prescribed.I will repeat again here.
1.Aripiprazole dose range can vary from 5 mg to 20 (needs to start low dose with gradual increase) is helpful for some of the thought process you have experienced and also acts as an adjuvant to antidepressant.
2.clomipramine-As i have mentioned above is helpful for obsessive symptoms and depressive symptoms.
3. Pregabalin (dose range from 75 mg to 300mg) --is helpful for your anxiety symptoms.
You were on Lamotrigine which is helpful for depression and mood stabilizer.But as your New Psychiatrist suggested it might be helpful to try 1,2 and 3 first to the therapeutically maximum safe doses first.So, stick to 1,2 and 3 first.
Clonazepam 0.5 mg SOS is helpful in the short term but I would not recommend this on the longterm and if you can avoid this it might be helpful.
So,please stick to one Local Psychiatrist and follow his/her advice. As long as they are qualified and specialized it is better to stick to one Doctor to maintain consistency.
I can appreciate it is anxiety provoking for you but first try 1,2 and 3 for at least few months to see the benefits. If either no or partial response then you can discuss the possibility of adding mood stabilizer like Sodium valproate or Lamotrigine. (please note that both are effective and you have not had any side effects to Lamotrigine)
You might want to exercise some patience and pursue the medication.I know you said CBT did
not helped in the past but you might want to get help from online resources like Moodgym (please google MoodGym).
I wish you all the best.