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Hi, Linda. Obviously, we can't diagnose you over the internet, but what you describe are clear red flags that a competent psychiatrist should consider very seriously, along with a host of other factors. Unfortunately, even psychiatrists tend to overlook the bipolar diagnosis. Their tendency is to diagnose depression, with the tragic result that far too many of us spend years in hell before we finally get the right diagnosis. Typically, we show up for our first visit depressed, talking about our depression. In this state, it is very difficult to recall our good times, or the times we felt too good for our own good.   I know. This happened to me.   It may well be your pdoc made the right diagnosis, but you have made a very strong case for asking him or her to reconsider that diagnosis or to get a second opinion. But you need to help the pdoc by telling him or her about all the good times and bad times and times you got into trouble.   Re meds - there is a very strong body of opinion in psychiatry that antidepressants (such as Effexor) are not effective for bipolar depressions and can make you worse by inducing mania (this happened to me on an antidepressant). There are exceptions to this rule, but you need to pick up the phone and inform the pdoc of your suspicions. If your pdoc shows skepticism or hostility, it's time to consider another pdoc. Their job is to listen, not prejudge.   I assume the Seroquel is for helping you sleep. The med is a common sleep aid for bipolar. Hope this helps.