There are several options. You need to advocate for yourself. If you want to be on less meds rather than more meds, say that and ask them to work with you. It might be an option to lower your depacote. You might be on enough depacote to be able to add an antidepressant. They could try a different med, like symbiax, or a combination of atypical antipsychotic, with or without an antidepressant. Symbiax is zyprexa and prozac together, and is used for depression and for bipolar disorder.

There are also non-med options, like talk therapy, which helps long-term more than meds alone. Also ask about how light, dark, sleep, and nutrition could also be important and how adjustments to your daily routine could help manage your symptoms. These are important things that a lot of people, including doctors and therapists, often overlook. When a certain part of the year is harder for you than other times, it is likely that there is a seasonal pattern and or some trauma. Diet and lifestyle factors are especially important when you have a seasonal pattern, and if there is trauma (maybe an anniversary date triggers you), then you will need to work through that.

Don't let them stop at a meds adjustment if you want or are willing to look beyond that. Meds can help, but they aren't everything.