Sounds like the nurse is not listening...
I agree with tracy33, try telling the nurse what you have told us in this post...
But if she still does not listen, is there any way you can work with someone else?
It sounds like you are very depressed, which is part of bipolar...but like you say, the MD could be a big contributing factor...has a psychiatrist told you that you are bipolar?
Hope your appointment goes well.