Hi Amysmom,

Thanks for your support. I do feel somewhat better that past few days. I think journaling and posting on this site really made a big difference. Yes to your question about having a mental health center where I live, except for one problem, I used to work there until last year. So that's completely out of the question. I see a private pdoc and have a private therapist. I see my T regularly every week, and my pdoc once a month now. He just increased my Trileptal and is working towards 1200 mg per day. He also gave me Lexapro samples to titrate on for one week, then gave me 20 mg of it for my severe depression. He knows that there is a risk of it causing hypomania, but I really do need it. So I'll let you guys know how this works for me.