It may be the Trazadone or Abilfy causing the tiredness.
Oh man, my pdoc had me try Trazdone (I think it also goes under Desyrel?) and it knocked me out and extreme morning headache, he said not to take it then, it was just a trial.
I gave the rest to almost full bottle to my one brother who uses it for sleep.
I take Concerta for my ADD, I only find it lightly stimulating, which is due to the time release formulation, Concerta is, no peaks and valleys, that is why my pdoc prefers this for Bipolar's with ADD.
I agree, one has to weigh on a scale, which means more, medication,type of,non-medication, many choices.
Plus, at the same time if being non medicated causes you to have problems,like mounting mania, or depression has returned, this can be dangerous if not fatal due to suicidal ideality.
Always best to take this up with your pdoc,being that everyone's situation(s) are individual.
It really is so nice to see we all can share and learn from our experiences.