I have bipolar 1

Alright so I have a ptsd, anxiety, OCD, bipolar 1 and depression which comes with the bipolar. Lately they have been making me go crazy. Between manic, late night depression thoughts, nightmares, and panic attacks I haven't gotten any sleep. I've been unmediated for almost a year due to the loss of insurance. I was on a mood stabilizers, antidepressant, and a pill to help with nightmares caused by the ptsd. Does anyone have any tips or tricks to help control any of these without medication? I tried working out which put me into manic, so that's not good. I'm up for anything to not be up all night and help me be able to control my mood better