Sorry you're struggling right now Amazon. I find it interesting that your NP thinks it's easier to control the depression rather than the hypomania. I have actually heard the opposite. For Bipolar II the person often spends more time in and experiences difficult to treat depressions. The depression is typically what causes loss of production. I'm not saying she's wrong, I just find it interesting. I understand your hesitation to try the Abilify and I think it's good you're reading up about it. I mean all of these medications can be horrible. My hesitation was always taking Lithium. I resisted for over a year but then decided I had tried everything else and the Lithium would be worth a try. Maybe your NP could come up with several different treatment options to try to find something helpful. Being that you're a nurse and know how to read FDA reports and drug profiles it could allow you to play a bigger role in your treatment. Or maybe you could do your own research into effective control of depression in Bipolar II disorder and go into your next appt with medication suggestions of your own. Just a thought. My pdoc wouldn't appreciate if I did that but your NP may not mind at all. Either way, I'm really hoping you start feeling better soon. Hang in there!