I went and seen my therapist today. She told me to stay on the Topamax until I see the Psych on Sept 17th. She said I should go off of the Vistaril since it is making me hyper instead of sedating. I up my dose of topamax to 50 in the morning and 50 at night on Friday and I am not sure I want to do that. She said I should stay on it because it takes a while to take full affect. I'm gonna try and wait it out. If it gets any worse I am going to go off of it. I feel a lot better today minus the 2 hours of sleep, crying spell, and nightmares last night. Thanks for the advice.....I appreciate it.