Lots of meds, lots of side effects

I'll try to make this short. I take tons of of medication: 3000mg Keppra, 200mgs of topiramate, 800mg of Aptiom plus 50mgs of amitriptyline for pain and 20mgs of ciprolex for anxiety. In the last 6 months I've had a lot of seizures. I have simple partial (or whatever new name they've given them now) and the Aptiom has been added in the last month and I have been referred from my regular neurologist to a epileptologist. Okay, so here is the problem: I have now have almost totally lost my speech. My new epileptologist thinks it's the topiramate but I've taken that for years and it's never been a problem. The speech thing is new, since the Aptiom, but he is lowering my topiramate. I'm fine with that, but since I can no longer talk, I can no longer work. My Dr. suggest I talk to someone about how I'm feeling... HELLO?! He was in the room while I tried to spit out my story. Not the most helpful advise. Has anyone had this problem on these medications before? I feel over medicated, still having small seizures and exhausted all the time. Advise? Thank you.