You aren't running out of meds. I know it feels like it but there are so many meds and combinations.....it took me 14 years from bipolar diagnosis to exhaust all options and in my case I knocked out a bunch of typical APs because of a reaction to other APs.

I used to take comfort in the fact that there were more options even when it felt like there was nothing and honestly partly to warn me that the time would come and partly to get me used to the idea I'd need something as drastic as clozaril my pdoc brought it up from time to time for 9 years as well as the possibility that I would exhaust all options and have some time medication wouldn't help a lot. And those things happened. and I'm on clozaril and if it doesn't work I don't know what happens. ECT I think, done knowing there is a lower chance of it helping.

But really, it takes a long time to exhaust all meds, especially if your pdoc is willing to be creative.

I totally understand how you feel, just tryig to offer comfort that I might now have seen as such a few years ago.