I'm sorry you have to go through this. I had a similar experience with celexa. My pdoc last year out me on it and it sent me into a mixed state. I was hospitalized, stabilized sort of. Went back in a depression and she upped my celexa again, claiming the increased abilify would counteract it. Nope, mixed again within weeks.

Then again, I had an excellent, caring pdoc in October through a program. She listened when I was in the grip of A severe depressed episode. She refused to give me an AD as I had had such a bad reaction to celexa and Prozac. She spent a lot of time researching what would help me best and came up with Seroquel. She allayed my fears of taking it and she was right - within days i felt better.

So it can go both ways. I've had doezens of pdocs over te years and I think at least an equal amount of fools and good, caring ones.

I would tell you to ditch treatment for awhile but it seems you're stuck. I don't know if you're allowed to refuse meds but that's what I would do personally. Just take lithium and refuse an AD. I will always refuse an AD now that I know for sure how they affect me.