Even with my meds, I still tend to run on the depressed side (bipolar 2), but since I started the med combo about a year ago, the depression has not gotten below mild-moderate very often. I have noticed though that in the last few weeks I've been down around moderate or moderate-severe quite often (thanks to my handy mood diary and graph), and I also realized that simple things have become hard again; bathing, cleaning, concentrating, motivation, etc. so I did call today and my current doc (I'm hoping to switch soon) is on hospital only duty this week, so I wouldn't be able to get in until Monday at the soonest with him, so I talked to his nurse and he was able to get me in to see a different doc on Thursday afternoon. I have seen this lady a couple of times when I was in the hospital and she was really nice, so I'm actually glad that I'll be seeing her instead of my regular doc anyhow.

I am also still having a lot of fatigue from the increase in my anti-anxiety meds in early February, so I think by now if it was only a short term side effect it would have passed, but I am exhausted all the time. Also, my anxiety has increased as well as my depression so I'm hoping she will look at a different option. I don't want to give up completely on the Lamictal, I'm hoping that maybe adding a low dose of an anti-depressant will help; I think that some of those SSRI's also can help with anxiety. I do also think that beyond a regular med to control my anxiety, I might need an as-needed anxiety med for those times when I get triggered by something and my anxiety goes through the roof. I'm going to take in the mood graphs I have made from February and March, you can really see the difference when you look at them!

As far as switching docs, I did mention to the nurse that I want to switch to Dr. L. and he said that Dr. L. would have to review my file and decide if he would be willing to see me. I still don't really know exactly what the process is to actually ask for a new doctor; I'm hoping that when I see Dr. W. on Thursday I can ask her if she knows what I need to do.

So anyhow, wish me luck...I hope that she will be able to get me started on something so that I don't end up spiraling down into crisis mode where I get suicidal and have to get into the hospital, that is the last thing I want right now, especially since I'm trying to get started in that new program and I have appointments coming up to get the paperwork finished so I can actually get started in the program. I also have dental appointments coming up soon to get my many cavities filled; I'd like to get in and get that over with as soon as I can.

Thanks everyone for always being so supportive