Meds take awhile to work. Anyway, who cares what the exact diagnosis is, you know if you know it's some type of mania? At least your pdoc is doing something about it and seems concerned about your case. Anyway, any time I've gone full-blown manic, I've nearly torn my life apart, so I'd rather not. And I really can't, not with a kid. You could ask your pdoc about trying you on the extended release Seroquel. That might bring you down some. They can both act very differently in the same person. The extended version calmed me too much, made me want to sleep day & night. I tried the regular release version and had much better luck, makes me sleepy at bedtime along with some other meds, but I'm don't feel hungover by morning, can run quite a long distance at 4 AM in the morning (risky behavior here though, running through the streets in the dark).