On bad days, it's either depression, nasty hypomania, or a mixture of both. On and
on it goes, medication and
all, with rarely a break between.
My pdoc has experimented with various combinations of meds, but none has really made an appreciable difference. I'm getting tired of hoping for an improvement only to find that nothing works.
On the non-pharmaceutical side, the usual therapies (CBT, DBT, etc.) require more focus and persistence than I can muster. (I have ADD.