I've been there with getting to almost no meds helped and being in constant, terrible mixed states with rapid cycling. I was fortunate that first time and the last med likely to work did help although I need much more of it than normal. And now I'm at the place where there are few drugs that I have not tried and those that I haven't aren't the best idea for me if avoidable. Right now I'm on an emergency dose of Seroquel that is double the FDA approved amount. But the good thing is that there are new drugs due out soon. One at least is an antipsychotic unrelated to any anti-psychotic that is out there and my understanding is that it should be available pretty soon. So maybe there is a little more hope? I know it's really hard when there aren't options open. I'm currently really worried about what happens when I have to get off this much Seroquel and what happens when the dr finds out it is only partly working when I know we need something that is working 100% pretty soon.

The other positive thing is that in the 13 years I've been diagnosed we've gone from 2 or 3 drugs approved for bipolar to so many I can't count. At that rate in another year or two there will be more options for you. I know that seems like a long time but it isn't forever.