Sorry to hear, it is exhausting.
I go through a state of rapid cycling 4 times each year as the seasons change, fluxuations in mood only last 1week-2week in duration.
I take sodium valproate aswell as cymbalta but my dose was only rasied from 30mg to 60mg on thursday with great reluctance that it could start me cycling or induce mania.
How do you go taking a stimulant like dexamphetamine? I have to avoid caffine