Good for you Amy for refusing the pain pills. My daughter is on Seroquel for her anxiety and to help her sleep. The only problem I see with the Seroquel is that you need to increase the dosage after a while as it stops working. It is a weight gainer too but the Topomax should even that out. Many people on Seroquel take the Topomax just for that purpose. Hugs and take care, Marle