123, are you locked into having to go to the same p-doc, therapist, etc by your insurance? If this is the case I could see why you are reluctant to go back to the same people who appear to be mismanaging your right now. Is there some way to break out of this if this is so? Can you go to the emergency room when you are feeling out of control, talk to a relative or a friend to hlep you get to one? I know this can get expensive, but having some other professional's observations of you manic or severely depressed might help either move you into antoehr bracket of care and either 1) get you seen by someone else or 2)make your current "doctors" (I'm being diplomatic here) wake up a bit.
I second Ryask, please don't tar all p-docs with the same pbrush; I had one who refused to listen and made me very, very ill. Another Dr. in his group moved in and within 5 minutes of seeing me knew what was happening and hauled my rapidly deteriorating bacon out of the fire. In two-three days I was no longer psychotic and back to my usually annoying bipolar self. The first man nearly destroyed my life, and the second, well, he ended up not only giving it back to me, but later even improving on it. A good Dr. and a good man. They are out there. HUGGGGSSSSS; and faith, hon.