Tracylee--

I'm really sorry to hear about the troubles you are having. I know how frustrating it can be when you know that something is wrong and the doctors don't seem to be able to make you feel better.

Diagnosing an condition like you describe can be a tricky task for a pdoc. There is a fairly wide range of conditions that can produce some or all of the symptoms that you describe, and the treatments do not necessarily overlap.

Rather than going in "with guns blazing", I would go in with your ducks in a row...write down what dx's you have had, describe the symptoms, the meds you took, what helped and what didn't and for how long, that sort of thing. Write out you current symptoms (so you don't forget, like I always do), and ask your doc "what can we do to make me better"? You may want to keep a mood chart to document your mood swings and manic behaviors.

Not all docs actually even give you a cut and dried diagnosis, though I would personally want one who does.

I hope this helps...

DJ