I'm sorry that you are having these troubles...it is just these sorts of symptoms that make bipolar such a bear to deal with.

I would suggest that you call your doctor first of all about changing your meds to one degree or another ASAP. I assume you are seeing a psychiatrist to manage your illness.

Second, since stress seems to cause you trouble, it follows that whatever you can do to manage stress more effectively should help. First--live a healthy lifestyle, namely good nutrition, a regular schedule including 7 - 8 hours of sleep at night, plenty of excercise. Learn deep relaxation techniques and practice them twice a day for 10 -15 minutes. Be sure and mention the anxiety and sleeplessness to your psychiatrist so that he can medicate accordingly. Are you in therapy? No bipolar regimen is complete without it, and a therapist can help you deal with the things that are stressing you out.

I hope some of these suggestions help--I do know how difficult it is, and these are the only things that have helped me. I hope they work for you!

Peace,
DJ