I found everything you said valid and reasonable, truly. I have bp 1 and worked until age 41. Huge, giant manic and psychotic flail. Super duper sick. No more work for cyclist!! 56 now.

Are there intensive outpatient programs available not too far away? I found great benefit from them. You go, like, half a day or something. Does your pdoc know you are struggling this way, or do you minimize?

Meds?

My father was an itinerant dermatologist to underserved areas of Alaska. I used to go with him--Juneau, Sitka, Ketchikan, Nome, Kotzebue. Memories...

Hugs!