Hello.

I was diagnosed with OCD about 6 years ago but diagnosed with unipolar depression and not bipolar II until a year ago. Since then, I have been in intensive psychotherapy and have been regularly seeing a psychiatrist. Things have improved ten-fold and I am a much more stable woman now that I can take care of myself again, eat, and sleep for the most part. I was recently hypomanic and it was dealt with by medications, didn't last as long, and was not as dramatic as it had been in the past.

However, my OCD has become really hard to treat. When we thought it was just the OCD, we upped my SSRI to treat it. However, I went a summer without a therapist (I was moving and didn't have a therapist I could trust). When I arrived at grad school, I was a mess and had been on a higher dose of Zoloft for a long time. I was hypomanic and unable to cope. It was awful. My OCD was much better, but I was bipolar.

We lowered the SSRI and within a couple of weeks saw a huge difference in mood. So, now I am still on it, but at 50 MG, which is as high as we have gone without a change in mood. It's frustrating and I am out of ideas.

Has anyone dealt with OCD and BP? And if so, how? Any advice?