Hi there, Tegretol as off label has worked for his condition. He is also on some other medications for his manic conditions, racing thoughts, some paranoid behavior. I am searching for a pathway of care or something different than what has been the way over the last 20 years. He gets sick, has to be hospitalized, medications and then he comes back.

Mental health is that ghost that makes us wait to see if/when it will happen again.

So, as he is older now, does our metabolism, blood work change that requires change. He does not have epilepsy, but Tegretol works for now. Have you ever had a neorological work up, MRI of the brain etc..

Is there another specialty that can help gets closer to better control?

Thanks, JMIR