Hi everyone. Thank you so much for your responses, I really appreciate them very much.

I called my clinic and they're supposed to have a nurse call me back in a day or two. They're pretty good at having talked to one of the doctors before calling back so I'm hoping they'll be able to help. Worst case scenario I can always go to the psych ER but I'd rather avoid that at all costs if I can.

I've been trying to use coping mechanisms but that tends to be difficult for me when I get this way. My best friend got home from a three week trip to India late yesterday and she came over to see me today, so that was something positive.

I'm thinking medication is likely going to be the solution for this. Whether it's switching up doseage or adding something new I couldn't say. I know I can't take antidepressants they massively trigger my mania. So I'm not sure what the answer is but my regular Pdoc is back in two weeks and I think he will have a solution. Just have to survive until then.