Beverly,
I think Karen may be on to something about getting yourself help first. I can't say I can relate to the manic episode you are going through right now, but my mom is bipolar & stopped treatment when she got pregnant with me & never went back on her meds. Honestly, it was really hard on me growing up. She thought she was so wonderful when she was in her manic phases, but that was much harder on us than when she was severely depressed. She would be awake for most of the night working on some "project" -- whether it was something for work, for the home, or just some random crafty thing. She would go shopping & spend too much & then she & my dad would get into a fight.
They never told us what was going on until we were adults & we would worry about all sorts of things watching our mom flit about from one thing to the next -- talking a mile a minute, not making a lot of sense, talking about all the things she had accomplished & all the things she planned to accomplish. She would write lists of tasks 2 full pages long & get them all done in one day. But I wished she had accomplished a quarter of those things & then just sat down to relax. Because I never learned how to relax or sit still as a child & it both wore me out & got me in a lot of trouble. (I finally got help my second year as a teacher when I saw one of my young students misbehaving & we found out his mom was bipolar. I realized that like him, I had picked up a lot of behaviors from my own home & they were keeping me from being healthy in my work life, my friendships & even in my time alone -- which I thought had to be filled every second with activity until I burned myself out & wasn't able to do anything at all.)
I've heard my mom hundreds of times make the exact same statement about not being able to tell clients "no" without some sort of terrible consequence. That there was too much to do & already too little time & there was just NO WAY she could fit in a counseling or doctor's appointment. But the thing is that we make time for the things that are important to us. She always found the time to fit in another client, to make another batch of cookies, or to go on another shopping spree. We make time for things that are important to us.
You have so much to live for. So much to be happy for. So much to be healthy for. Having one dose of one drug not work is very, very common. Probably just about everyone on this forum has had that experience. The average number of meds that need to be tried for depression before finding one that works is 3. Many people then need to add on a second medication to really feel well. I would imagine having bipolar might make it even more complicated. Seroquel often does make people feel tired. Maybe taking it only at night so that you can sleep would be an option your doctor would consider. I do think you need to find a way to get 8-9 hours of sleep somehow. Depression & mania are both made worse by not getting enough sleep.
Please do get into the doctor on Monday. It really is so important. If you can't do it just for yourself, do it for your granddaughter. Children need healthy mothers (which is what you would essentially be if you had sole custody of her). They need healthy, mentally stable caretakers much more than they need ones who make a lot of money or have their own place. I know that in an ideal world you would provide all of those things. But if you have to choose one to start with -- and you do -- choose to be happy, healthy & stable. Choose to fight both the depression & mania. Choose to keep fighting that battle until you start winning. And then, once things are stable, you will have so much more energy to face the next battle and fight for your granddaughter.
And please talk to your doctor about using m*. None of us here are doctors & we don't know anything about your general health or health history. Keep in mind, though, that in many areas it is illegal. Even if it is legal in your state, it is still illegal under U.S. federal law & if you are going to fight for custody, that can sometimes be counted against you.
peace,
frances