<s>[INST] I need a psyciatrist to talk to i have been diagnosed with bipolar manic depresion disorder and I hear violent voices my medication does help but I cant get to a dr in the clinic i live to far away no one to tke me any more and I am affraid that i will have another break down and end up back in the mental hospital again..can u help me? i dont have any credit cards though??? [/INST] Hi there ~I understand your concerns and hearing voices in your head is a sign of psychosis which is common in bipolar mania.  I also think that you are having frequent switches from mania to depression and vice versa.  Exercising, yoga and Panama along with Dayana may help. I also think that keeping a journal and writing your thought when you feel like it will also help.  If you do not have access to a clinic calling the number 1-800-273-TALK might be useful.  However, make sure you call and make and appointment with your doctor. I hope this helps.  Take care and have a lovely day! </s>