Disclaimer:I am not a doctor by any means - seek one to get a professional answer.
But I'd recommend trying SSRI + Lamictal at first.
Two reasons: SSRI like Sertralin + Lamotrigin seems to have helped lots of people on this forum.
Second reason, i took antipsychotics as well as the s-l combo, and I am still suffering from the antipsychotics side effects.
If SSRI and Lamotrigin doesn't work for you, and you are desperate, you might try another antipsychotic.
It's just my SUBJECTIV opinion. Get second opinions.