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It could be any number of things. My non-medical-doctor-opinion-have-just-done-a-lot-of-research is that if the suspiciousness regarding your boyfriend and thoughts about meds were bipolar-related, then all of this would occur as part of a constellation of bipolar symptoms, presumably hypo/mania, lack of sleep with tons of energy anyway, pressured speech, etc., etc. My non-professional opinion is that when such things happen independent of other full-blown episode indications, it's probably due to something else. One can never be sure, though.
Have you had passing thoughts about the meds or have you been full-out 100% believing that they are poisoned? You seem to be typically anxious and very ambivalent about taking meds and I think it's possible that this is a manifestation of that.
With your boyfriend, it could be a relationship issue? Maybe you're feeling insecure in your relationship with him at the moment? This is a long-distance relationship? I think people do get suspicious of partners sometimes for any number of reasons, without it rising to the level of clinical paranoia, which would be a very extreme version of this.
Just throwing out other possibilities.
I think it's *possible* that these thoughts, though, could be addressed in therapy; why are you having the thoughts, what can you do to re-formulate them. Have they really dropped out of the sky out of nowhere or are there potential reasons for them that can be learned from.
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