Thanks for the info, Michanne, but I'm not actually on the medication right now, I've been considering it for over a year and right now I'm just trying to get a feel for how likely a manic episode would be. I know my Pdoc would be with me, and looking after me for my first dose, and he could help me if something went wrong. I just want to know what the likelihood of something going wrong would be. If I do end up saying no, I know at least my Pdoc won't push the medication on me, right now though I'm not doing very well and I feel like I need something extra med wise in order to continue getting the best I can out of complementary therapies.