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I would suggest going on a real mood stabilizer, like lithium, valproate, or an atypical antipsychotic.
Why on Earth are you on lexapro and topamax? The lexapro could be the source of your rapid cycling. And the topamax has not been shown to be an effective mood stabilizer. You need to be on a good anti-manic agent.
You need to be on some better meds. Talk to your pdoc asap.
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age: 23
dx: bipolar I, ADHD-C, tourette's syndrome, OCD, trichotillomania, GAD, Social Phobia, BPD, RLS
current meds: depakote (divalproex sodium) 1000mg, abilify (aripiprazole) 4mg, cymbalta (duloxetine) 60mg, dexedrine (dexamphetamine) 35mg, ativan (lorazepam) 1mg prn, iron supplements
past meds: ritalin, adderall, risperdal, geodon, paxil, celexa, zoloft
other: individual talk therapy, CBT, group therapy, couple's therapy, hypnosis
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