I saw my pdoc today.

She was happy that I was on the ball, added the 50mg of Seroquel and was able to shut down the ugly imagery. However, she's very concerned about my intrusive thoughts.

I had success getting rid of OCD sx and the intrusive thoughts on 100mg of Zoloft at one point, but I was zombified on Lithium and lots of other meds at the time. And having the Zoloft on board ended up contributing to the start of the last manic episode.
She said it's like my "GAD, OCD, and PTSD are all tied up in a knot" and with anyone else she would be prescribing something like a SSRI and jacking it up to get rid of the intrusive thoughts, but I'm "bipolar one like there's no tomorrow" and using antidepressants right now is too dangerous.
I agree with her assessments. There is no ****ing way I would take an antidepressant- I've been manic or hypomanic close to 8mo out of this year- I'd have to be in a hole before I'd do it.

She asked me how much Seroquel I thought I could handle. It's a hard question to answer for a lot of reasons but we made the decision to raise the am dose to 100mg to see if it will help with the intrusive thoughts.

I took 1mg klonopin and 50mg seroquel at 8am this morning. When I came home at 11am I took the extra 50mg of seroquel...
Totally unexpected reaction: Not sedated. High. Or some combination. I feel like I'm at a keg party and I've been playing beer pong and snorting coke. I'm ****ed up.

Ordinarily I would just go back to taking the 50mg and leave it at that, but she made such a big deal about the intrusive thoughts... I called and left her a message.

BTW drunk.org must have mailed that paperwork to the DMV because they still don't have it. Tried to call and ask if they faxed or mailed it, but every time I call it goes to voice mail. Whatever.

p.s. I have no idea how long it took me to write this post but it was a very, very long time.