Hi Sir
Thanks for seeking help here.
As you know bipolar depressions are usually are very intensive and associated with self harm thoughts...are typically hallmark of Bipolar. The first line treat is a mood stabilizer. In such a young age .......you are on 12 medication.....it's very tough.....really need a evaluation. I don't think you are in optimal dose of 2 mood stabilizer. This usually happens in many cases. This lead to relapse. There are multiple factors also modify the course n prognosis of BPAD. Like example... substance use,
thyroid, personality factors, stressors.
After a clear evaluation you will definately able to manage your symptoms with good job ahead. ECT is the best option for the time now...
I suggest you sir, please come for a detail discussion. Definitely we will help you out.