I have had some of the mixed episodes initiated by change of AD. Some AD work very well. Seeing therapist, learning coping methods has helped me a lot to go through that crap of mixed episodes. I take ativan more often once I'm mixed. I do exercising lot more. I go for long walks. I try to avoid trigering situations. And remember, that bipolar is all about changing moods, so this is not to stay, it will pass.