Is there anything in your life that's been stressing you out? Life events can trigger episodes.

You can still get episodes on meds. I think that's why people get med adjustments all the time.

I gained a little on the depakote, but have maintained weight on lithium. If you take lithium you just have to drink a lot of water and not snack. (Like when you want to snack, drink water)

Therapy would give you coping mechanisms that will help reduce the severity of mood swings.

I was on 900 mg of Lithium and was hypo (time of year!), so I increased it w/permission from pdoc and it went away.