if you are dx bipolar you can go to your disability resource center and register. They will help you out (if you need extra time on tests, tutoring etc.)
Good luck. There is nothing wrong with big dreams.
You can look into some homeopathic medicine, too, and look meditation. Supplements like fish oil (omega-3) can help...I've found that finding God in my life has helped me. (Not that I'm recommending it, but getting in touch with the spiritual part of yourself can help I think...it's helped me.)
Also, I think that you're not going to really work "hard" until you can confront that pain. I know it's hard, but if you associate studying/good grades/etc with pain then the willingness to do it is not going to be there. Confronting it will be hard (your T can help you in this!) but it will be worth it. You might find a renewed drive from this.