Yes, the weekends are slow here and I just wanted to hop on board and say hello to you. I am not Bipolar but have a 15 year old daughter who was recently diagnosed. It is not easy for her or for us and we have yet to be stabilized but things are a heck of alot better than they were around 3 months ago.
The thing that I must commend you on is knowing that things are not right at this moment and that something should be done. WE are gettting into the winter months when that alone can trigger depression....SAD I beleive it is referred to. So you may wish to talk to your doctor about that and an adjustment in your meds. Also, I noticed your age and you are in that peri/menopausal age group so that may be coming into play as well. So perhaps a little tuneup is what you need in order to get through this time. Since your doctor has not failed you so far and you trust his treatment, I would discuss this more with him next time you meet or perhaps even sooner if need be.
As far as the doctor visits....the psychiatrist serves as a perscribing doctor based upon what you share with him regarding your moods and symptoms. I would definitely recommend you find a therapist as well who works specifically with CBT (Congitive Behavioral Therapy) which I have heard works well in teaching you coping skills and specific ways of directing your thinking towards changing your behavior that could trigger anger or irritability or anxiousness which is so charactereistic of Bipolar.
As far as the house....let it be....if it causes you undue anxiety perhaps asking your husband or another family member to assist you until you are feeling better may help. If you feel that you need to do something, then set a realistic goal and clean one drawer, corner, or room at a time. Separate it into small pieces rather than a big piece that is unmanageable. This will allow you to use that energy that you do have and allow you to do something that you want to do in a realistic way that won't have you feeling bad that you couldn't accomplish it.
I have read that walking is a great reliever of depression. Get yourself out of bed and outside even for a short walk....this will at least keep you from going even further down.
See if your doctor can recommend a therapist....it really seems like you need to talk and that will also help. In any case there are many wonderful people here who know just what you are going throuh and will help you through. Meanwhile......share what you are going through with your doctor and ask him if there is something he would suggest in terms of adding to or readjusting your meds. I believe that you said you are on Lamictal....perhaps a little increase in that will do the trick since it is known to address the depressive side of things OR a small dose of an antidepressant such as wellbutrin which will not increase mania will help.
I will be checking in every now and then so if you need someone to talk to just let me know.
(((HUGS))) ~ Goody