I feel exactly as you described when I'm hypomanic which happens a lot because I rapid cycle with long bouts of depression. I've yet to find a medication that controls it but I will keep on trying.

I would think your doctor would try something else to stabilize your mood - not Topamax. Advocate for yourself and request something new.

Try to figure out what brings on your extreme anger. I know my irritability is due to my hypomania but the rage surprises me.

Good luck with your doctor. I totally feel for you.