It seems like there are so many of us saying this right now that another post is hardly what we need. But I'm really struggling. My AD was increased a week ago so it should be helping. I'm at the max dose.

I have permission to increase my AP for agitation as I expected the AD to throw me up but it didn't. I'm hesitant to increase it as things are because it is sedating and all I can do is sleep. At night it can be hard to fall asleep and I seem to wake for 30-60 minutes but then I sleep until afternoon and most days take a nap on top of that.

I saw my therapist today and he noticed that I'm very tired and thinking slowly. I only remember part of the session. I'm trying to decide if I should try to get in to see him again this week. Unlikely but sometimes it works out. If we decide early that i need an extra session and he doesn't have time he usually can find an hour for me but I'm not comfortable asking him to work extra.

To make it worse the last time I was manic I was paranoid about my therapist and some things he said months before and now some of that is creeping back in. Which leaves me not trusting anyone all that much.

I just want this to go away.