I've had people notice because I get really loud and talk a lot when I'm hypo. I'm in a good place with my meds right now though and my pdoc and I know each other well enough that I know what he's looking for in our appointments and he makes the right med adjustments based on what I tell him.

Your meds aren't doing the job if you blew through $5000. If the psych nurse isn't taking that seriously then you should definitely find someone else. If it's too much for you, you should ask your fiancé for help. These things will affect him too once you are married so he should take part in making sure you get the care you need.