Suffering From Bipolar And On Medication. Lacking Motivation And Anxiety. Having Chest Pain And Taking Effexor. Suggest The Cure?

Question : I am on 10 mg abilify, with 120 of cymbalta and vairiably 100-200mg thorazine a day, and down to 1 to 2 mg ativan, also 200 mg topamax. I also incedenally use the fentanyl 75mcg/72hr patch.

I am bipolar over the last 30 years, diagnosed in 1983. My question: I find an increasing lack of motivation, but no depression, and find it anxiety-provoking to leave the house, to the point where I have my groceries delivered. I have no neuroses, I hae abstained from alcohol for 8 years by choice, quit smoking but occasionally use a piece of nicotine gum (3/day). I was a public health nurse when I did work, and I have been on disability for bipolar for the last ten years.

Do some chronically ill bipolars have a hard time leaving the house?

I have a hard time making myself take a bath, it's a motivation thing. My father has Parkinson's--could my motivation failure be the beginning of Parkinson's? I have no focal deficits or tremors. Or could it be the side effect of the thorazine?

Some are saying that for long-term low grade depression that strattera is a good thing. I don't know much about this. I already think fast, but have a hard time getting going. I just sit and sit, can't get down to actually doing anything.

I was on effexor for a while, and it helped me, and we switched to cymbalta when it seemed to no longer seemed to be working. I at the same time was having bigeminy and trigeminy and chest pain. Can effexor cause this? Because If it doesn't I was thinking of going back on it.