DAML,

Sounds like a mood stabilizer is a good idea, and you're lucky to have a therapist who picks up on something like that. Don't worry about seeing a pdoc. It would of course be nice if you find you like him/her, but you will be going solely for what most pdocs nowaday give: pharmacological advice, not talk therapy. All you have to do is tell the pdoc what the ups/downs "feel" like, if there is any discernable pattern to them, and other relevant info.

It would be a very good idea if as from today you keep track of your mood swings each day. This does NOT mean keeping a long-winded diary. It does mean writing two or at the most three sentences a day to describe how you feel during the course of the day. "Woke up exhausted; better by noon; angry with xxx over xxx; agitated but slept ok."

This will be extremely helpful to the pdoc in deciding what to suggest, and it may also get you a more thoughtful and detailed response than you might otherwise receive because it will reveal you as a responsible and knowledgeable patient.

Anne