Maybe work on self control? I know you can't really help the symptoms of the schizoaffective disorder so much as the bipolar one. Just because you are having inappropriate thoughts, if you know that they will pass you can work on thought control and attempting to live a healthier lifestyle which will reduce symptoms as a whole. It may not make it so you aren't rapid cycling but it will give you more control because you're not helpless.

For me, I'm taking Lithium and Depakote. I get dehydrated if I'm not drinking enough water and I'm disorientated for the first 1/2 hour of being up. Sometimes I feel tired during the day. I don't think I have any serious side effects from taking them.