I finally made it to the doctor over a week ago.  She diagnosed me with walking pneumonia.  She prescribed me antiobiotics and a Medrol pack.  She casually mentioned the Medrol can cause insomnia.  Wait, what?!  Nothing leads to mania faster than missing sleep (which I was already losing coughing all night).  She said it doesn’t interact with my lithium or the computer would have flagged it.  I continued to show concern, and she said I could just double my steroid inhaler if I was worried.  When I went home and googled Medrol, I found more sources including research showing the drug can trigger mania.  Well, I opted out of the steroids, and I’m on the mend.  Remaining skeptical at the primary care office is starting to get tiring.  I’m going to restart the search for a psychiatrist.  It occurred to me that trying to convince my PCP to take over my psychotropics was not the best idea.  I remember feeling worried when her MA said she never works with patients on lithium.  That should have been a red flag to keep looking.