I am new to this discussion. I am desperate for help. I was diagnosed 5 yrs ago with general anxiety disorder after 3 attackes landed me in ER. They tested my heart thoroughly. I had all the signs of a heart attack. I was convinced. I did not want GAD. Took me a long time to accept that and for a long time Lexapro and Klonapin with a little Xanax on the side worked and I continued with my job. About a year ago I ran out of Lexapro and was feeling quite well for a time then I started having violent mood swings. I was also irritable. I had been through this years earlier but the anxiety meds seemed to help. Was also going through menopause. I am also hypoactive thyroid and my regular doc who helped me tremondously moved away. Everytime I went to the doc they blamed everything on my thyroid. Were constantly testing it and I always ended up back on the same dose. About 3 months ago I had several episodes where I was so fatigued I could barely walk and would become breathless and weak just walking across the room and have been suffering from a tremendous amount of stress at work and at home. I had 3 episodes where I felt so badly depressed and fatigued I thought I was dying and even wrote my funeral arrangements on a scrap of paper laying in bed. AFter laying around a while I would feel better and try to go back to work, then end up back home and in bed. Finally my husband tracked down my old doc, which is a 3 hour drive, and when I saw him I was so relieved. He remembered everything I had been through earlier and was convinced it was GAD again and told me I would have it the rest of my life. Put me back on my old meds and I took a leave from work - a major trigger. I continued to worsen on the meds so my doc put me on Effexor, and we tried several tranquilizers. At that time I quit my job cause I could not see myself ever able to return. But nothing seemed to work I was in a constant state of anxiety. Then suddenly I would improve and manically work around the house and the yard then I would crash again. It was a pattern. I recently had such severe depressions I lost the will to live and for the first time in my life considered suicide as an option and I even have it all planned out. We went back to my doc and in asking questions he has come to the conclusion I am bi-polar with depression primary. He put me on a low dose of Seroquel (sp?) to be increased in increments. He had a psych he preferred who is not taking new patients. I cannot get into the next referral until the end of Sept and I am supposed to leave for a trip to LA and Seattle Oct 7 where fortunately I will be with siblings. Yesterday I had a short major manic episode and today I am feeling fairly normal for me - which I am not even sure any more what that is! Don't know if it is part of the cycle and I will crash or if the bipolar med is finally kicking in. I am actually fearful of feeling good cause I fear the inevitable crash. Does anyone recognize the signs as all now bipolar? Can you morph from GAD to bipolar? Or could it be both. I appreciate any and all comments. <font color="#000088"> </font>