It sounds like you know a lot about bipolar disorder. You probably know that stress is a trigger for bipolar episodes. Adding more stress or staying within the stressful situation won’t help. However, you are committed to performing well and you don’t want to give up the job. You seem to believe that if you weren’t depressed you would be doing fine.
Of course, you’re going to beat yourself up about that, and that’ll make you ever more depressed. You’ll worry about what that will do, and you’re going to start sinking.
If you don’t mind me asking, who diagnosed you? Was it a psychiatrist? Were you put on meds? How well did you do on meds? Why did you go off them? Why are you seeing a therapist? They can’t prescribe meds. You need to see a Psychiatrist for that.
My psychiatrist usually says something to the effect of “if it ain’t broke, don’t fix it.” He doesn’t want me to go off my meds, but I’m not keen to stay on them forever if I can manage without.
It sounds like this is a depression where you feel like you are in trouble. If you are, then you probably know you can’t fight it doing what you are doing now. Getting a prescription has the best chance of helping you, but it isn’t going to help rapidly. Neither will exercise, nor therapy, nor mindfulness, nor exercise. There are no quick fixes for this. You will have to be working at it for a while. You will need help from your spouse. Does he understand your disorder? Is he sympathetic? Is he willing to chip in?
My suggestion is that you see a shrink as soon as possible. I think you should also get a therapist who can teach you mindfulness techniques. Or buy a book and learn it. It really helps. Lot of research to show that. Much better than cognitive behavioral therapy, especially for high performing folks.
I think you should get your husband to help out around the house more. Take on more responsibilities.
None of this will happen quickly. I don’t know, however, if you have time to work on this and keep your job. If it is looking like you don’t have enough time, you may have to let HR know what’s going on so you can take advantage of disabilities act. They can’t fire you for being sick. And if they do, it really helps in getting disability, afterwards. DO you have disability insurance? There is also Medicare or Medicaid, I think, if you are disabled.
You are not in an easy position. I wouldn’t (and haven’t told mine boss) tell you boss, either. It’s a crap shoot. He might get it or he might not. Far too many people in this world believe you can just tough your way through it. Far too many people have no clue what bipolar is and most don’t believe it’s real. But it is real, and sometimes that means you have to educate people about what it really is. I’d estimate you have a 50% chance of getting your boss to be an ally.
You’re in a tough place. Stick with the tried and true. Get medical help. If you do go on meds, don’t go off them again. You’ve learned that you won’t stay off permanently. Also, look for a DBSA support group in your area. My group is pretty good. Lot of smart people with good insight and who are pretty supportive an helpful. They have played a huge role in my recovery. Not all groups are that good, but it doesn’t hurt to try a few. If you don’t have any in your area, there are also online groups.