Q:  How Does One Get a Diagnosis

I haven't actually been diagnosed but this isn't a "just curious" message either.  For 15 years, I have been diagnosed with Clinical Depression but nothing has truely helped my severe depression states.  I have a reputation for making plans and never finishing things.  College, careers, even small things such as volunteering at the Church.  My depressive states are obvious but I wonder if I should be looking at Bipolar II.  As I write this I am in a depressive state (tears and all) but I also feel "wired" with no direction for all this energy.  Could this be an example of Mixed State?  I am just learning about this as I come from a family that doesn't believe Depression exists.  Attitude:  Get over it.  Married 3 times and two of those ended because of extramarital affairs when in fact I don't like sex.  Another symptom maybe?  I don't have insurance for a Psychiatrist and my PCP isn't qualified for this. Don't know where to turn right now.  On Wellbutrin SR 300mg twice daily.  Doesn't seem to make a difference or maybe my depression has gotten worse.  Anyway, what meds are available and how does one get a diagnosis?  Also, will I need to be hospitalized for treatment (I have 5 year old triplet boys and 13 year old daughter to consider)? I appreciate your reading this.

Thank you

Dear Mr. E' -- 
Have a look at my website on Bipolar II to learn more about "how one gets a diagnosis" (the Diagnosis section); and what med's are available (the Treatment sections).  Usually hospitalization is not needed, as long as you're safe.  

Dr. Phelps