Bluebicyle, I often feel the same. none of my meds are equipped to combat mania. It doesn't help that my treatment places can't agree on my Dx. My goal at these times are to take my medication until I speak to my treatment team. whether it's my therapist or pdoc. Maybe you can keep the goal to take your meds until you can talk to your treatment team? Write down what you want to say so you don't miss anything. Would you ever take injectable medication?