I haven't kept track, but I would say looking back for over a month I started out hypo-manic. This lasted for a few weeks. I then I think would drop into maybe a depression. I wasn't suicidal, but there was no energy or motivation, just blah. I had no energy but I wanted to work on projects around the house, very weird feeling. This would happen over night and would last for a few days and then I would climb back up to hypo-mania. One day I went from this type of depression I guess you would call it, to a complete rage in the evening where I thought I was going to punch someone. I was put back on Seroquel (300mg) back in July and it stabilized me and then my pdoc added Topamax 25mg at the beginning of September. This medication change was before this swinging back and forth started to happen. I noticed during the highs I was still waking up several times at night with all of the night meds I am on and when the so called depressions I would not. I will admit that I have been drinking a small RedBull at noon when I wake up because of all the night meds causing me to be just completely blah in the morning and I have to get my you know what in the shower and get to work, which is really my only goal for the day. So I drink the RedBull at noon, drink water the rest of the day and I go to bed at 1 am. My doctor had a fit, but I told him I didn't know what else to do. And don't get mad at my pdoc, I have literally tried everything and Seroquel seems to be the only one that has come the closest to keeping me from falling apart again. I know that we are not suppose to have caffeine, so don't give me the lecture please, and coffee upsets my stomach. So anyway a week ago he upped the Topamax to 50 mg and said if I swing back up again I need to bump the Seroquel to 400mg. Well guess what, I am back up in the tree tops again running my mouth at work waiting to get myself in trouble with HR.

My question is what is going on with me this back and forth? This last March he diagnosed me as BP1 mixed, but I really didn't pay attention to how I was feeling. Is this mixed? I thought mixed was depression and mania at the same time? See below because I am also on other medications that I have been on for quite some time. He told me the older I get the less I will swing back and forth. I'm just so tired of this up and down that happens so fast. I know you guys can't diagnose just looking for some info.

BP1/OCD/GAD

Lamictal 400mg
Xanax ER 1mg am and pm
Propranolol 10mg am and pm
Topomax 50mg
Seroquel 300mg