If your symptoms interfere with your daily life (and it sounds like yours do) you need meds. If you get your bipolar under control you have two choices as I see it. 1. apply for residency match again or 2. pursue more education such as physician scientist training programs, biomedical research or public health.
Best of luck. 
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The purpose of life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make some difference that you have lived and lived well. anonymous
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