Bri.
If I've learned one thing it's to tell doctors what YOU need and not the other way around.
Don't suffer. Make an appointment. Read this article or something else to help you make a case.
http://bipolar.about.com/cs/antidep/..._ssridisc1.htm
Ask questions. What is this med vacation for?( personally I don't understand the reasoning behind it if taking a vacation makes a person worse. Then by introducing any medication will provide a false positive?)
Tell the doctor if he is going to resume ONE medication then he'd better do it because you are miserable?