Jenn-- Maybe you do need a med adjustment or change.
Sure, they're not a cure all but I would like to think they'd keep you more stable than what you describe.
Is your T and P-doc aware just how bad it is?
I know I have a tendancy to downplay my situation..."I'm fine. How are you? Look how normal I am."
BUT what happens is I get to the point of no return then have to fess up how yucky I really am.
Sending positive vibes.
Petunia