I really don't know bc the opiates are involved. I think you need to be off them before you figure out the bp stuff. My mixed episodes are really horrible. Crying, angry, intense feelings of remorse, anger again, feeling hopeless. Etc....

Do what it takes to get off the opiates. I know it must be hard, but to figure out this bp stuff I think you're going to have to. Best of luck to you.