I'm so sorry. When do you see the new pdoc? Is your PCP willing to help? Can the new pdoc get you in for an emergency appointment?

Mixed sucks, though I guess mine it not as bad as it could be, so I should be grateful.

If the only way to stay safe is IP, I know it sucks, but it may be what you need to do. I'm on a lot of meds too but at least sleeping OK right now. Not great, but 6 hours a night is enough to keep my mania at bay. Could your PCP help with sleep issues? I notice you are on a lot of meds; so am I. Don't know if it's the pdocs or I'm just this screwed up.

IDK, with the sleep issue though...that goes on 3 or 4 days with me, full-blown mania is sure to hit, and then I get into all kind of trouble. Is that worth it? For me, even IP is better than the fallouts of my full-blown manic episodes. How much sleep are you getting at night right now? Could you call a doc and see if maybe you can increase the trazodone, even if it has a zombifying effect? Trazodone tends to be a pretty safe med as far as upping the dosage. There was a time I took 600 mg a night, but of course, I was a zombie the next day until bedtime. Better too much than too little sleep in your case right now, though.