I am with Tort and DoUtriponair. I think they have it down. I was in a mixed episode for much of last year climaxing with me ending up in the hospital. I find agitated depression to be a very good descript
or, and I was cycling several times a week. For me it has taken a combination of medicines: lithium and lamictal to stabilize and help fight the depression, risperdone for obsessive rumination that came with depression, then vyvanse ( a medication for ADHD) to help also with depression and boost my energy and ability to focus some. A real cocktail and I hate taking it all but each has been layered on carefully and I am pretty convinced it is what is needed. So you might need a greater combination of meds. I would be pretty frustrated if my pdoc was asking me what I want to do without giving some well-described options. What medications are you taking?