Hi,
True that you are on a lot of medicines, have you told your Psychiatrist this.. about the smoking.
If you dont like the gum, you can try patches.
You could start by reducing the number of cigarettes.
Some of your medication can be adjusted to control the irritability.
Go back and meet your Psychiatrist.
Next Steps
reduce smoking to 1-2 per day
Health Tips
try a nicotine patch