For context, I was diagnosed with MDD in 2017 then my psychiatrist eventually "changed" (is that the right term) my diagnosis to bipolar II in 2021. I an currently taking 1000mg valproic acid, 150mg quietiapine, 20mg escitalopram. I am seeing a psychiatrist and also a psychotherapist.

So for the past few years, I have been in a slump. I would consider it as a depressive phase. As in I have zero energy, zero libido (I was hypersexual before), I only go out of the house a few times a year to meet a small group of friends. That's it.

But for the past month or so, I've noticed I suddenly have ALL THIS ENERGY. I was meeting strangers in unsafe situations, hypersexual, drinking alcohol frequently, I picked up the habit of smoking again after 3 years, I am so restless, I even have the energy to go to the gym everyday, I'm impulsive, and always palpitating.

I saw my therapist and told them about these episodes and they were helpful.

BUT, for the past 3 days, I cannot sleep ATT ALL. I would try sleeping at night, I would get little sleep but I feel like I am conscious the whole night. Then I would drink 1/4 of 5mg rivotril that my psychiatrist prescribed so sa umaga na ako makakatulog for around 4hrs. Then yesterday, I didn't sleep all day. But I still have so much energy. My mind is racing. (Di ako nakainom ng rivotril). Realizing this, I suddenly felt like crying. Kasi this is the first time that this happened to me. I don't know what to do cos I can only sleep when I drink rivotril. Inantay ko mag 6pm, then I drank 1/2 of 5mg rivotril (1/4 lang talaga ang prescribed ng psychiatrist ko). Then I woke up 11am today.

I am seeing my pschotherapist in 2 weeks pa. And I don't think this is an urgent matter para magpa reschedule ako earlier than scheduled.

Any advice would be appreciated, but mostly, gusto ko lang ilabas to. Thanks for listening.