Hey kenny like I told you in your last post you can always request new doctor if you are not comfortable and have re evaluation/ medication adjustment. It’s really important to be honest of your needs and medical wishes. Adderall is stimulant , if caffeine triggers mania for you then any other stimulant can have high potential to cause manic episode maybe that why your doctor is worried . Right now best thing is to think about your situation at hand and try understand why things are happening. That why getting medical files and having someone go over them with you , may help you understand the issue at hand . If you are still drinking then yes psych meds may have stronger effect than desired and can make undesirable symptoms. If you are struggling with alcohol i would seek treatment and if you are mixing benzodiazepines with alcohol you can seriously harm yourself . That may be why they are admitting you is because it’s dangerous. They maybe concerned of medical emergency if you are mixing . Please take care of yourself and be kind to yourself.
Finding a bipolar person that fully accepts their diagnosis is as likely as finding someone in prison who admits they're guilty...
It's a bad rollercoaster where people improve, feel like they don't need meds, and then stop causing issues.
Medicating it, gets rid of the "highs" that the patient has been used to their whole lives. And it's very hard to convince them that's worth the tradeoff when the meds are barely holding back a manic phase.
OP doesn't just need a therapist and more/different drugs, they need to go to detox and get sober off all the random shit they're self medicating with. Especially the meth and ketamine, it's not just bipolar that's an issue.
That why think they are holding them because their more to story . In my comment on last post i asked if they could go detox/ rehab
Im not going argue but i am telling you as someone who study pharmaceuticals . Stimulants ( e, meth , coke , caffeine ect.. ) and mixing alcohol with you psychiatric meds will cause manic induced episode , as well psychosis . You are playing very dangerous game and i hope you can get help
The alcohol you say you can't sleep without, alongside mixing with benzos?
Do you even remember the other things you've said here? None of this adds up to a picture in your favor.
This whole situation seems simpler than you're letting on. You repeatedly say your episodes are triggered by drugs, and that you were high all the time last month in a comment on your previous post.
I'm glad you've found medication that seems to work for you now! I've only had to navigate finding the right meds for ADHD, but finding what works for you when it all messes with how your mind works is difficult as hell. I know how much my ADHD, anti-depressant, and anti-anxiety affect me, and how fucked up I can be without them (but unable to see it clearly until I'm back on them again).
Now please, for your own sake, try to get the drugs and drinking under control. That's going to effect things too. You seemed to be aware even when you were having an episode, so it's a start.
Good luck and happy holidays!
Rehab for a hard reset on any and all substances. Without this, I don't believe any other problems are even treatable.
Then, extensive psychodynamic therapy. Not CBT.
Without knowing why you drink and what substances you use, it's hard say anything else. Also, I'm not an expert, but after a year of intense therapy, I'm still depressed. But it's worth exploring if you are ready to feel better. We can't all be ready. Some never are. And that's okay too.
You are very much not, per comments here and in your last post to this comm where you say you were high all the time last month.
At the very least, you're still drinking regularly despite saying that it triggers your mania.
Sober (with some relapses) is relapsed. It's not fun to accept but it is the truth. If you were sober before you can get back there, but you have to be honest with yourself.
That doesn't seem to be what you were saying in your post?
I woke up 3 and a half hours ago at midnight, and that was after drinking 5 8% ABV beers.
It also doesn't match up with their last post in this comm or the reddit post OP made and referenced there that another user tracked down.
Its hard for people to give advice if you arent honest with them or yourself.
This doesnt classify as sober from my understanding. You say 3 years sober then 3 weeks ago then last night... your story isnt passing the stink test so far mate.