Thanks everyone, I’m gonna reply more in a few minutes. He made a bunch of adjustments to my meds. He said it’s probably a mixed manic episode from when I was overspending and the lack of sleep and racing thoughts plus the crashing/dipping into depression sometimes too simultaneously. He increased a few of my meds (Thorazine, klonopin and Lamictal) and decreased one (Zoloft). And also ordered bloodwork to check my trileptal levels because the next step once I stabilize on the Lamictal and also am sleeping then he will very slowly start to decrease the trileptal till I’m off it and eventually stop the Thorazine as well.

The goal is to over time to just be on 50 mg Zoloft, 100mg Lamictal, 30mg abilify and klonopin PRN. He said I might eventually need to go up to 200mg of Lamictal but we’ll see how I do on the 100mg. But it’s gonna take awhile to get there. He said the most important thing right now is stabilizing and getting my sleep straightened out. Said spring/summer is a bad time for people with bipolar. Anyway, he’s gonna sign the paperwork for me to get a payee

Also apparently trileptal metabolizes other meds and makes them less effective. So when it’s decreased it has to be done really slowly because decreasing it will automatically increase my Lamictal levels.