I Have Long Been Diagnosed And Treated For A Depressive

I have long been diagnosed and treated for a depressive disorder and ADHD. I am now 69 years old, and was not effectively medicated; until, I was treated with a SNRI, Venlafaxine, and Adderall, which, has only been in the last six years. Before that, I was only treated with SSRI's, since I was 40 years old; which, was not nearly appropriate & adequate medication for me. Recently, I was having breakthrough symptoms of depression, sleeping irregularities etc. I was , at the time, texting my first cousin who wanted me to answer some genealogy questions. I could not gain the organizational cognition to find the answers to her questions. Although, I know that I have the answers in some old files. But I was able at the same time, to write her such a long text, from memory; that, it became a multi-media text. I went on and on, telling her how to do some original research on the subject, through the two cemeteries where our grand-parents are buried. I went on, describing my depressive disorder, aunts and first cousins, once removed, who were bi-polar. How my two year old grandson had three surgeries this year, for non-cancerous (Deltoid?) tumors in his cranium, sinuses, optical....but did not inside the brain barrier etc. etc. I was able to draw on all of this memory, and more writing and writing on and on; but, my thought were not organized enough to recall where my genealogy records are. I have not looked at them for at least five years. At the same time that I was writing at length; I wondered if I may be having a mixed episode. How could I be writing excessively, while I was also having disturbing, disabling depressive symptoms. My psychiatrist released me as a patient; because, during this episode I tried to get call her one weekend, through her answering service regarding my medications. She did not call back all weekend. I expressed my upset to her answer service. My Psychiatrist never talked to me personally; but had her office secretary call me on Monday, to say that the doctor was releasing me from her practice. So, I went to my G.P. to continue my prescription meds. I do not have a new Psychiatrist yet; but, I have been referred to a local one. I cut back on my Venlafaxine to 250mg. daily; because, I read online that is the max. outpatient dosage. Actually, I am doing well, since I did that, along with my 20mg. daily Adderall script. Still, I wonder if I was having a mixed episode and if I may have some Bipolar Neurochemistry. I have such a long depressive history, for at least 20 years before I was given my first anti-depressant, an SSRI, when I was 40 years old. I still wonder if I have been correctly diagnosed and treated; although, I am doing much better now. Thank God. What do you think? Mari