I am convinced that I've got comorbid Bipolar and ADHD, however it is extremely hard here to be diagnosed with ADHD, let alone comorbid one..
Believe it or not even children are getting misdiagnosis just because there is some kind of belief here that ADHD doesn't exist or some shit idk..
Even if I get diagnosed with ADHD my options are rather limited, the only two medications available are Atomoxetine (which has been withdrawn from the market this year) and Clonidine, both are not stimulants and there are no stimulants available here....
TLDR: I'm fucked
That's insane. The fact that your psych went to Invega so fast shows he is fucking clueless. Afaik Invega is only given to bipolar patients whose mania gets so bad that they are a danger to themselves and the people around them, possibly with psychotic features.
Without stimulant medication yeah..... it would've been hard either way to get prescribed any, since they can induce manic episodes. Research showed that patients need to be stable first before introducing ADHD meds. For mood stabilization you probably need a mood stabilizer, there are tons. Not at all an anti psychotic that as I said earlier probably never is a long term "solution" and should be used as a sort of last resort, in my limited opinion.
What I would do when you have a next appointment, prepare really well, write everything you want to say down, ordered in bullet points or something.
List the official ADHD symptoms (like impulsivity, hyperactivity, inability to concentrate etc...), show that you suffer from all of these, not just a little because everyone does sometimes, but chronically and very extreme. Then also try to show that these symptoms were already apparent as a kid. Make her well aware that you are not there for some script, but that you want the diagnosis as a first step for a more fruitful life. The rapid mixed mania mood swings are impossible to explain by even ultra rapid bipolar cycling, provide research where necessary, they are still cyclic in nature and it doesn't make sense with what you experience every day.
What helped me in realizing all this is that true mania and also mixed mania is quite different from the chronic ADHD symptoms. And they are made worse by never really being at a true baseline, but rather fluctuating between (hypo)mania and depression, not really reaching the extremes but dangling somewhere in between, like a little hypomanic, somewhat depressed etc.....
Next I would present her with papers on comorbid bipolar ADHD, show how prevalent it is. These papers will say that a mood stabilizer first, then a stimulant or atomexetine later. If they're withdrawn and illegal, then yeah...... But then you have at least have a proper diagnosis, and can go from there.
I think it's fucking criminal that your psych just convinces you to give you the strongest fucking AP off the bat by like saying it's a good thing, and it shows that they don't have a clue and don't give a fuck. I am absolutely disgusted, NOT a solution. Normally they'd go for Lithium, but Lithium is not done with ultra rapid cycling patients, because the cycling can get worse after you get off it. But this is so exceedingly rare, and the more obvious diagnosis is ADHD. This is exactly my situation, luckily I have some more options here. I'll be convincing my psych in similar ways.
You might be fucked yeah, but I'm sure a mood stabilizer could help quite a bit, and then you're left with unmedicated ADHD which is of course also hell. But we age and we learn. Stay strong and take care man. Hope the Invega shots help (?) and if not you can quickly get rid of it. Do check in sometime if you like.
This might be a little all over the place, but energy is raging through me, which is a given these days.
)
It sounds like PAWS. I can't recall from our conversations but do you see a counsellor at all? 
