I heard back from pdoc today. Increase in lithium (900 back up to 1200mg), take the Seroquel if it helps, and go easy on the Xanax (pretty obvious, I know). He's getting me a script for blood work (lithium level). I always seem to have struggles when he's on vacation (bad luck I suppose), but I've been seeing him for years, and he is very good and attentive. He's not a pill pusher. We collaborate on my treatment and meds. I'm hoping to get in for a visit later this month when he returns. I hope I can get things turned around...I had been feeling pretty normal for a good while before this setback. Thanks all for your concern.