I think if nothing else, you're at least insightful here amazonmom. You can tell things are shifting and that's huge b/c hopefully you can get things to turn around before they get out of control. Reading this, I'm not entirely certain whether you should talk to T because maybe your work there is causing problems (like talking about the things that kicked off your bipolar sx to begin with is causing you to have a flare again), or whether you need a med adjustment, or both. I think you know that something needs to be done.... maybe make an appt to see T and pdoc both or at least call and talk to them. I'm caught in the middle of a horrible depression and I hate for things to get there for anyone.

As far as the Lunesta, is it possible for your doc to do a prior auth. If you've used Ambien before and it wasn't helpful then there's no way they can force you to use it. You may have the highest co-pay for the Lunesta but the insurance company should cover it if you've faailed other treatments.

Good luck dear... I hope you get things turned around but hurray for you for having the insight to know things are getting off balance.