do not apologise for posting. we all need support sometimes and dysphoric mania is an absolute pain to deal with. it is awful when you want to just jump outside of yourself one minute and curl up into a ball the next and nobody gets it. have you xanax or klonopin to take or anything to help with relaxation at all? music sometimes helps me or a nice long bath with essential oils. i hope your new pdoc is of some help to you. it is difficult to control dysphoric mania and difficult to live with it. good luck with it. hugs