I have bipolar i and i'm not feeling well. too much anxiety, tired, don't want to go anywhere or talk to anyone. my therapist is on vacation.?

Find Support: Your anxiousness, fatigue, and energy fluctuations could possibly result from several factors including work/family stress, inadequate sleep, nutritional insufficiencies, relationship difficulty or even lack of perceived support. In either case, it is importaant for you to reach out for help. Your therapist will likely have assigned a backup provider in his/her absence. Why not give them a call!

Call the on call: Many a times these are signs of start of depressive phase of manic depression. Please contact on call person who is covering and get evaluated immediately, if that's not possible go psychiatric urgent care for evaluation.

ON CALL?: Typically there is someone on call or do you have a doctor that prescribes the medication? Final option is the er or urgent care. Call you pcp they may be able to help also. Good luck and think of future contingency plans. Maybe just anxious because therapist is out of town?

Have you taken meds: Symptoms can be due to certain causes. What meds are you taking , have they been changed recently. If on Lithium, have your levels for Lithium + Thyroid been checked recently? Many Bipolar pts. will decrease or stop their meds when they feel really good, + don't think they need them anymore (Grandiosity), + get worse. Many patients do poorly when there is new or additional stress to your life