Oh Sue, sounds to me like there are genuine causes for your low mood apart from the bp -- hugs (((Sue))). I've had a good few struggles with money over the years and bad news on that front always sends me low -- but not like with my depression as I do bounce back after a couple of down days. And then the fact that you and your b/f aren't doing too great -- well, when I've had problems like that it's been another thing that throws me (same feelings as you: stupid, ugly, worthless). I think your reactions are pretty natural.
What you need to take care with, though, is that these stresses don't turn from things that are bringing you down like they would anyone to bp triggers. Can you see your therapist and make sure that you start talking through the problems? I think it would be good if your therapist could do some work with you on your self-confidence: I don't know if that's normally good, but it seems to me to have taken a knock at least recently. You're a lovely lady, but you may need some help with seeing that at the moment.
It's just possible that the increase in meds has made you more susceptible to a mood change (i.e. more likely to be triggered by stressors). I don't know much about trileptal -- just did a web search and see it's a variant of Tegretol -- with added oxygen molecule which seems to make it much better with fewer side effects/complication possibilities. I know a bit more about Seroquel. Neither has depression as a side-effect as such, but I guess with any of these meds too high a dosage can trigger the other extreme (so a-ds are obviously for combatting depression and too high a dose, or not in a good combination with a mood stabiliser, can trigger mania; mood stabilisers are best for combatting mania, and I guess by extension too high a dose or not enough balance with an a-d could bring on depression). Actually, you're not on an a-d are you? Hm, maybe watch how you go for a couple of weeks (get some therapy to talk through stuff in the meantime) and if things are getting worse talk to your doc about adding in an a-d: it might be that you are in a part of the cycle where that would help.
As I say, though, the meds as cause is something to monitor in case it is that, but this could well just be a reaction to a not particularly great time for you, and talk therapy may help you enough to sort out your feelings about that.
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