I wrote this note to Dr G., the doctor from WEBMD. We will see what he has to say:

Hi Dr. G,

My mania has gotten out of control. My symptoms have become overt. I requested to move my doctor's appointment up to yesterday and was able to do that. I explained all of my symptoms, especially this harrowing agitation. It is unmanageable. He wanted to let the 2.5 MG of Klonapin do it's job. The only change he made was cut my Zoloft in half; he even left me on the 50 MG of Vyvanse. I know you can't give me treatment advice (although I've never wished more that you could) and I am afraid to go against his advice. Here is my question, my symptoms are becoming unmanageable and it will be 8 weeks before I can see a new pdoc. My current doctor seems ineffective for this episode. A friend said I belong in the hospital because I said I needed to stab my stomach and let it bleed out. I said I needed to die. I said those things because I needed a release from this extremely appalling agitation. I do feel vigorously that I need to hurt myself or even someone else but I don't have the impudence to do such a thing. Do I need the hospital? My other question is this. I have considered calling my doctor and letting him know that I was unsatisfied with our appointment (I think, based on our relationship it will be received well enough) and I feel we need to try something stronger than the Klonapin. Is there something I can recommend to him? Thanks for your help.

Thank you,
Sarah