I still have a lot of break through (hypo)mania's that last about 6 weeks (for me that's incredibly short). However I do not take my PRN until I'm having severe violent intrusive thoughts. I wouldn't have ever got stable-ish if I did not changed my Psychiatrist. My former Psychiatrist had me in a severe mixed state constantly and refused to try the only mood stabilizer that has helped me. It has been strange and hard to get use to have longer stable periods along with the severity being less it feels more dangerous. I don't think I would continue being on medication if it wasn't for this board and regular therapy. She helps remind me of all the times that I've said it was a bad idea to lower my meds on my own. It was hell finding an anti-depressant that worked without throwing me into a mania. I went through several SSRI and SNRI to find that viibryd was the only one that worked.

My husband goes through depression still. He had to change psychiatrists 2x before getting some assembles of stability. He still has a lot of depression but hardly any mixed or (hypo)mania issues. His psychiatrist is working on his depression symptoms currently.

It took us 8 yrs. with a year break to find a generally proper combo but I feel that the only reason why this happened is because our psychiatrists takes all of our issues in to consideration before suggesting some choices. I don't feel we will ever function normally as neither of us can hold a job but therapy has really helped us accept our limitations.