You mention that you've never transitioned, so am I correct in assuming that you don't take any type of hormone therapy? If you DO that might be playing a huge part.
I'd highly recommend trying to find a new therapist if you can. There are good ones out there that can work wonders without any type of medication.
It's possible that you may have an incorrect diagnosis that is making it even MORE difficult in finding the correct medication. When do you meet next with your pdoc? Try to explain to them exactly what's going on next time you see them.
If needed, you can check yourself into the hospital on a voluntary basis. A lot of people find this route extremely beneficial.
Good luck!
__________________
.age: 34 female .bipolar I .psychosis .panic/anxiety disorder
Seroquel XR 100mg
Labetalol for high blood pressure