Several studies have shown that antidepressants do little to nothing to help with bipolar depression. I'm on 50mg of Paxil and use it for anxiety. I've tried a higher dose, but still did nothing for the depression.

I'm thinking your GP could get away with prescribing an Atypical for a short period of time, without needing a psychiatrist. If you are having a hard time controlling your cycling, something like Seroquel XR (Quentipine ER) might be a good choice. Takes a few days to control mood, as compared to others (Abilify, Geodon, Latuda) that work within a few hours.