What should I choose?

I have been given these two options by my pdoc.

I dont know where to go or what to choose.

But Im experiencing both extreme mania and suicidal depression. Not to mention extreme alcoholism and Oding, spending, and cutting.

Im also on Lamictal 200mg, Abilify 30mg, and Valium 20mg for sleep.

Any help on controlling this bipolar?

Im to the end of my rope...literally. Death seems like a good out right now, not that im planning it anytime soon.

help!