I was on mirtazipine and it made me manic, so my pdoc added abilify to stop the hallucinations. He put me on 5mg, but from what I read anything lower than 10 mg tends to cause a manic episode. It made me feel like I was revving the rpms of an engine to the red markers but going no where. It is the worse sensation ever... And because I was manic, I told the pdoc to screw himself and I haven't been back... From the research I have done, they say to treat bipolar it is best to start at 5mg to 10mg and work up to 15mg. I thought that was interesting.