Have you thought of going into IP for observation and to get your meds tweaked? You seem like you're in such a bad spot with depression. Reminds me of myself a few months ago. I had to force myself to snap out of it because my house was literally looking like a hoarders episode. There's many options out there as rainbow has said. Sometimes what worked for you then, isn't going to do it now. You just need to find that cocktail that works for you. And I know how frustrating it is! Just hang in there and keep an open mind to treatment options.

Dx: BP2, PTSD, bulimia/anorexia
Seroquel 300mgs
Trileptal 300mgs
Buspar 45mgs
Ativan 1mg PRN
Vyvance 50mg PRN