I am not able to have one or the other. If I have a mood stabiliser by itself, I tend to fall into a deep depression. If I am on only an antidepressant, I get manic. So I'm on a much higher dose of mood stabiliser (Lamotrigine) than the comparative dose of the antidepressant (Mirtazipine) - getting the benefit of the antidepressant at a medium dose, with the stability of a mood stabiliser at a high dose.