My pdoc and I had a conversation today about bipolar and whether or not the depressions are something else entirely (we were talking about my antidepressants) It makes you wonder. My longest depression was 7 months. I have always been on an AD since my diagnosis.
Anyway, my thought, if you have exhausted meds, would you consider ECT or TMS? ( transcranial magnetic stimulation)
I've been on a number of different combinations over the last 7+ years as situations and drs change. Just hang in there and if you dont feel you are getting adequate treatment, change drs if possible. I hope this helps some.