Available options: +If you just can't bring yourself to talk, write a letter or an e-mail and be brave and send it. If you are having suicidal thoughts, get medical help right away.; +They may give you a list of doctors you can call, or they may suggest in-clinic treatment programs. You will not only need a doctor referral, but a mental health professional as well.; +Your doctor will want to know what you need to do to cope with ptsd, as well as what her treatment options are for you. Your doctor may also suggest therapies and treatments, as well as coping strategies to help prevent you from developing a relapse.; +Speak slowly and clearly to avoid background noise, and give your doctor who can help you a call back. Make a list of your symptoms to track.;Choose from options above and answer: What most naturally follows?

How to cope with ptsd and manic depression 
Tell your doctor if you haven't already. 
They will do what's right for you, and they know how to help you. Make a plan, take a deep breath, and talk to your doctor.
Answer:
If you just can't bring yourself to talk, write a letter or an e-mail and be brave and send it. If you are having suicidal thoughts, get medical help right away.