I've been doing well on my current combo for 3 years and all of the sudden it seems like the bottom fell out. I'm wired, agitated, want to change a million things, want a new piercing, new tattoo, spent $$$ on video games, spent my tuition payment for school on new make up and stuff for my hair. I've spent two whole days watching every video on youtube I could find by Timber Hawkeye about his philosophies on buddhism and spirituality. Yet I'm also low at times, like depression on speed, the worthless guilty thoughts come racing through like a freight train, my sleep went from having a good schedule to all over the place. I'm sleeping too little or I crash and sleep in jags and I'm up again. My skin is electrified. I think the rumors about Trokendi XR (extended release Topomax) as a mood stabilizer being ineffective have finally caught up with me and I think all the talk about Latuda have no anti-manic properties have finally gotten me, too. I feel like I'm in a mixed cycle.

I see my psychiatrist tomorrow. I know what other meds work for me, what keeps me from getting this way. I know I do well on Seroquel XR 600mg and Lamictal 300mg. A prior psychiatrist had me on that med combo before. How do I ask for that without sounding like I'm telling the doctor what to do? I believe that's all I need to change. I only changed from Seroquel before because I was also taking klonopin 3x a day with it and I was over medicated. This time I am only taking klonopin at bedtime to sleep and actually want to even stop taking the klonopin I'm taking once a day if I start taking Seroquel again. And I'm on stimulant for ADHD during the day now so that should help with alertness. Seroquel helped so much before with both depression and mania. And Lamictal was a great mood stabilizer, I just didn't like the generic version of the medication my pharmacy had me taking. How do I ask for these meds? I have got to break this cycle. My meds are just not working any more. I'm on the max dose of Latuda and Trokendi XR now.
I can't stand feeling like this.

(I know my psychiatrist is not going to start me out at these doses... I just want to aim to titrate up to these doses...)