It seems the hospital nor the internet has much to say on the topic of people who want maximum performance out of their bodies. Was wondering if there could be room for some discussion here? The subject goes 11 months without incident and suffers a manic episode in the 12th month, always between the months of January - March. He'd like to avoid the embarrassing manic episodes he's suffered the past five years by staying on one medication until another alternative is presented. He's currently on both abilify and lithium and is getting awful headaches every few days. Any advice on which drug to ask the psychiatrist to drop?