Hi LDA --
Welcome to HW! I hope you'll find this forum really welcoming and helpful!! :)
Sounds like this is definitely the wrong med or the wrong dosage for you -- but the good thing is that there are a good few other anti-psychotics out there that I don't think you've tried. The problem with recommending, I guess, is that different meds work differently for different people (as you kow too well!), and also that different meds are used for different stages or types of bipolar.
A good bipolar info site is "McMan's Depression and Bipolar Web", and I've copied you some info below from the page on "Bipolar Meds - The Antipsychotics" (http://www.mcmanweb.com/article-178.htm
"Zyprexa is approved by the FDA to treat both acute (initial phase) mania and maintenance (ongoing prevention) bipolar disorder. Risperdal, Seroquel, Geodon, and Abilify are approved to treat acute mania. Zyprexa is now on an equal footing with both lithium and the mood stabilizer Depakote as a first-choice treatment for acute mania in a practice guideline published by the APA in 2002 and enjoys similar status in the Texas Implementation of Medication Algorithms (TIMA) put out in 2001."
"Sedation: All the atypicals but Risperdal are horse tranquilizers, often merely in the initial phase of treatment before the body has a chance to adjust, but severe enough to be worrying, especially in these days of hit and run psychiatry where patients are sent out onto the streets disoriented and confused after maybe one or two nights in the hospital. Psychiatrists see Seroquel's sedating effects as an asset, however, often prescribing it (sometimes on an "as needed" basis) for sleep."
"Weight gain: A 1999 study by Allison et al found that Clozaril resulted in a mean weight gain of 9.8 pounds in ten weeks, 9.1 for Zyprexa, 6.4 for Risperdal, and negligible for Geodon. Seroquel wasn’t evaluated and Abilify was unavailable at the time. A 1997 study by Nemeroff found patients on Zyprexa gained 27 pounds over one year. Other one-year studies found weight gain leveled off in the single figures for Risperdal and Seroquel and was negligible for Geodon and Abilify. Product labeling shows nearly 30 percent of Zyprexa users added seven percent or more weight. Twenty percent of Seroquel users, more than 15 percent of Risperdal users, around 10 percent of Geodon users, and less than 10 percent of Abilify users crossed this "clinically significant" threshold."
There's also some info on Zyprexa and diabetes -- worth reading the whole article.
I'm in the U.K., so I don't know any psychs in the States, let alone Kentucky, I'm afraid. But I do agree that your dad is probably not the best person to treat you, as you should be able to be completely honest with your pdoc. (And I say that even knowing that he's halped you massively by diagnosing you when others were getting it wrong). Why don't you explain how you feel to your dad and ask him to help you track down a pdoc with you? Sounds like your dad's great and really wants to help. Even if he's hurt at first (which he may not be) I'm sure on some level at least he'd understand, and involving him in finding a new psych would help show him how much you value his input.
Keep posting -- we'll help you work through this.
People are not like fish: they do not work well battered.
When I'm not in my right mind, my left mind gets pretty crowded...
Co-Moderator, Bipolar Forum