Question: I've been suffering from mental illness since 2008 and was intially diagnosed with depression that same year, and in mid 2010 i was diagnosed with depression and psychosis, and put on 20mg of Fluoxtine in the morning, and 25mg of Quetiapine in the morning and 100mg at night, which has been very effective in making me very well, and being able to go back into full- time work and sport in late 2010, and in sport- perticulary table tennis and tennis being able to return to a very simular standard as before- playing number 1 and 2 in table tennis and number 1 in tennis in my respective teams, the first time since 2008 of being able to do very little. But since November last year i started to feel quiet unwell, which has progressed to me now being picticulary feeling very tired out and sleeping 15-16 hours a day, and feeling very hungry and thirsty most of the time. I've recently seen a new doctor and he took me off the 25mg of Quetiapine in the morning, and put me on 250 mg of lithium, and later the lithium was upped to 750 mg, and taken off 20mg of fluoxtine, and put on 50mg of Pristiq. Just before i was put on lithium, before i seen another doctor, i was feeling very unwell, and did some research, and upped the quetiapine out of desperation of how i was feeling by 25mg for 2 nights, and then upped it to 50mg and resumed taking 25mg of quetiapine in the morning, for a period of about a week, and found it to give signifient relief, and discontinued taking the extra quetiapine for about a week, and then then continuned taking the extra quetiapine until now for about the last 2 and a bit weeks. I find myself being confinded to the bed or couch for most of the time most days. I've continued to play sport, but have had to stop my main job shearing sheep, something i have done since late 2010 to November last year, and have been able to help my Dad a small amount of the time on the farms.

I'm currently only seeing a GP, i'm guessing you'd reccomend i see a psychiatrist?

Hi i seen my GP today, and he took me off lithium and put me on Valproate 500mg to be taken twice daily, and reduced me to only taking 50 mg at night, and thinks i have bipolar due to pressured speech. I rang a mental health worker later on about seeing a psychiatrist, and said i needed to get a referal from a GP, and it could be a number of weeks untill i can see a psychiatrist by video conference, which is obviously very concerning. Any thoughts??.

My GP has reduced me to taking only 50 mg of quetiapine at night, should i do this?, and what do you think of me taking desvenlafaxine , which took the place of fluoxtine a couple of weeks ago?. And should i keep taking the lithium?.

My GP has taken me off lithium, and so don't really know what a safe dose would be if i keep taking it?. And could be a number of weeks untill i see a psychiatrist, even via telemed(video conference). What should i do?.