This is all highly complicated stuff. You shouldn't be trying to self diagnose or medicate.
Get to a Doctor. That's the best and only advice I will give you.

There must be a community Mental Health center in your area. Go there and see if they can help you at little or no cost. Try the ER in a public hospital as a last resort. Then pursue your disability claim.
Plus, I'm confused. I'm not a Medical Professional. I read a lot about medication interaction since I have family members that have various conditions.
What MAOI were you on? You said in your
OP that you were on SSRI's and they are not typically given together.
Monoamine Oxidase Inhibitors are last line, extremely strong anti-depressants and have nasty side effects when taken with certain foods and other medications. Even if you're on a higher dose patch form you still have to watch your diet.
Selective Serotonin Reuptake Inhibitors are especially not given with MAOI's. Here's a Mayo Clinic link about MAOI's. Page 2 talks about the interactions.
Monoamine oxidase inhibitors (MAOIs) - MayoClinic.com
Tobacco use in people with mental illnesses as you describe is a common form of self-medication, it may or may not have something to do with your condition but this is not something I would try to figure out on my own.
I hope you're able to find some help in your community.
Good luck to you.

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