Adding a dopamine medication such as latuda/wellbutrin to an ocd/bipolar patient--wouldn't this make the ocd worse?

Not really.: Latuda (lurasidone) is an antipsychotic.Sometimes ocd is so severe that it reaches psychotic proportions, that Latuda (lurasidone) can help. But it is not indicated for ocd itself. Wellbutrin is an antidepressant of the aminoketone group, a Dopamine agonist and norepinephrine reuptake inhibitor. It is not indicated for ocd but may help the depression in ocd. Neither drug can make ocd worse.