So I got admitted to the inpatient ward yesterday. After weeks of mania the mania turned into a mixed episode with absolutely crippling anxiety, paranoia and insomnia. For a little background I take Depakote, Lithium and Seroquel as well as Lunesta and melatonin for sleep. Olanzapine is my “rescue” medicine. A week ago I was given 10mg Valium to help with the anxiety to take twice a day. It did not help at all. 

I haven’t leapt more than 2/3 hours a night in almost a week, they won’t give me anything extra because the doctor at the hospital won’t order it / doesn’t think I need it. She just gives me 5mg more of olanzapine and it doesn’t help. As for the anxiety she LOWERED the dose and gave me 5mg 3 times a day plus Ativan once a day “if I need it”. Nothing is helping. I’ve tried increasing Seroquel, increasing olanzapine, multiple benzos and nothing is working. I’m exhausted, angry and so anxious I just want to die. I don’t know what to do. We have socialized healthcare so I really can’t ask for a second opinion. I’m sitting here crying typing this. I need help so bad.