CBR wasn't helpful for me at all. The only thing I really do on that list is avoid alcohol. If I am in a good swing, I can sleep at regular times, but I don't

CBR wasn't helpful for me at all. The only thing I really do on that list is avoid alcohol. If I am in a good swing, I can sleep at regular times, but I don't exercise. I eat whatever is around really, and in severe down times I've been kicked out of college or lost jobs because I couldn't leave bed to eat or use the bathroom until it was unbearable, let alone leave my house. I also normally ate around a meal a day, at 5pm or so and might have had some apple slices, grapes, or something similar before. The only thing that has ever helped is medication. I have bouts of severe paranoia & hallucinations, but haven't mentioned it to anyone. Lamotrigine & Methylphenidate have been the most helpful, taking me from 5-15% functioning on an average day to 80% or higher. That's worked for me for 5-6 months, but over a month I noticed that my methylphenidate became less effective, and to improve it I had to redose during the day. This was a self-medicating (horrible, i know) method, but then it came to me running out of it for the rest of the month (10 or so days.) So I was low functioning then, but I still had my lamotrigine, so I was around 30%. Then I got my refill and started my day out, and ended up feeling nothing... So I redosed, and still after an appropriate amount of time felt nothing. I kept redosing for the next 40 hours until I had taken 500+ mgs of methylphenidate. I even spent time researching and turned it into IR methylphenidate, and even boofed 81mg of it at one point. Not my greatest hour. I finally passed out at about 60 hours or so, thank god. Then I woke up and realized what happened. That was yesterday. I'm still trying to find out what to do. I've been looking for people with my combination of bipolar II and adhd for input, but I fear that with my hallucinations and paranoia that have come and gone my entire life, there may be more wrong. I don't see an issue with upping my dosage of methylphenidate, but swapping to another med is what I feel may be a better option, but I also fear that my condition will worsen, as only the combination of methylphenidate & lamotrigine helps. I've been considering dexmethylphenidate, but definitely am trying to find more answers.