Hi. I'm diagnosed with cyclothymia or bipolar 2 (psych wasn't sure which) and also generalised anxiety disorder and BPD. I was only diagnosed BP and BPD this year, although I'm in my 30's. I started psychodynamic therapy at the end of June and I get it for a year. I've done CBT and had counselling before, but nothing like this psychodynamic therapy.

I'm really struggling at the moment.
My moods are all over the place. I'm having therapy is horrendous and I think that's what's causing all these swings. I know I need to continue with therapy and my therapist says it won't continue at this intensity, but it's making life really hard.

I don't feel like my meds are doing anything. I declined a medication review because I think it's therapy causing all this (my care coordinator agreed) so I'm thinking no medication could combat what's going on at the moment and I'm worried that if I go for a change, I won't be able to tell if a different med would be effective if no meds can override this therapy fallout. Now I'm wondering if I should request a review, or what I should do, because it's got to the stage that I'm really, really struggling with the changes. I don't know where I am from one day to the next, my thoughts are all over the place, my emotions bounce between nothing or just plain depressed, or being overloaded with I don't know what (therapist said that's flooding) all mixed in with doses of stomach churning anxiety, plus dissociation when I'm in busy or stressful environments, and it's just way too much.

My therapist says that a lot has been bought up very quickly and has suggested I aim for less huge things to talk about for a while, but as it's free association it's hard, because the smaller things seem to lead to the bigger things. It's getting harder to go each week. I have sessions when I spend half the time dissociating. This is s new thing for me. Therapist says I've always lived 'on the surface' but I have never had anything I would have considered dissociation until I started seeing her.

I'm not sure if I should attempt to adjust my meds or how to handle the therapy fallout which is getting worse by the week.

Any thoughts appreciated.