I think it is the Abilify causing the daytime sleepiness (which I have been on for about 5 yrears now) cuz I was just put on Trazadone to help me sleep at night (sounds like a contradiction of terms but I need the stimulants during the day & had a long hypo manic episode recently that kept me from sleeping much at night). I do believe medication is important for bp. I just have read that some people have only hypo mania & it doesn't cause them trouble in their lives &, in fact, helps them to perform well at work & in life. Those people I wouldn't think would need or want to be medicated. I WISH I had that!--Suzy