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Hi fourwalls, I'm sorry you're struggling so much, it really sounds like a rollercoaster.
I can see how severe anxiety could mimic hypomania in some ways as anxiety can really rev you up, make you easily distracted, irritable, etc. So since your anxiety is quite severe (from what you describe) it might be hard to parse out what is what. That said, of course you can be bipolar and suffer from a lot of anxiety at the same time.
It sounds like you have a therapist, but do you have a psychiatrist? I think you said you don't trust the clinicians in your town much, maybe you could see a psychiatrist in a nearby city (if there is one) for an evaluation/diagnosis?
It sounds like whatever meds you are on and the therapy aren't helping enough at the moment and you could really use some additional help.
Good luck!
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