Hi, I'm new here, and need some help with a problem that's presented itself recently.

I am Bipolar and OCD, each existing separately. My OCD is bad enough to where taking an AD isn't really an option. I have to do it. I need serotonin agents to keep me from climbing the walls.

Here's where the problem lies. My longtime AD Lexapro has recently pooped out on me. I need to start a new one but I am scared to death of switching to mania. Although I was on Cymbalta and Lexapro for some time with no problems, I did have a massive manic episode on Luvox 7-8 years ago. I feel like I'm rolling the dice and it scares the hell out of me. Can't go back on Cymbalta because my insurance won't cover it :/

Does anyone have any positive experiences with Zoloft, Prozac, or Paxil (my likely choices)? Anything you can tell me will help. I'm obsessing over this and it's not fun.