I'm sure different members will have their own take on this.

So here's mine, based on personal experience.

I agree with your pdoc - your behaviours and thought processes based on what you described sound like some sort of manic/hypo episode there.

I don't know about Topamax; I can't comment - simply because I've never been on it.

As for seroquel - it only works for me in higher doses when I'm hypo/manic.

In your case, I guess that's what the upped Tomamax is for, to try and level out your mood.

Hopefully this will work for you and things will begin to settle.