My experiences of bipolar have changed over the years. At the beginning, I found it difficult to identify the causes of my mood swings. Sometimes I could identify a cause, sometimes I couldn't. It left me with only basic functioning and sometimes not even that.

Eventually I agreed to take meds, that affected my mood swings as well. I was rapidly cycling, which was new for me. I tended to go on and off the meds, but it cause impairment, as well suicidal ideation and aborted attempts, each time.

When I got to the point where I was suicidal, despite the fact the my life was good, I decided to agree with any treatment my pdoc recommended. It lead to new meds, which I finally took consistently. I was pretty stable for years, and my mood swings were triggered by identifiable triggers.

I'm triggered quite consistently now, because I decided to go back to university, but I am OK. My bipolar evolved, negatively and finally positively. I would recommend to keep trying the treatments your pdoc or T recommends. Depression and bipolar are treatable.