I'm in Australia and I take Lithium and Fluoxetine (Prozac) as my regulars and Olanzapine (Zyprexa) and Clonanzapam as needed for agitation, psychotic like symptoms and anxiety. In the past I have been on up to six meds at the same time. Docs here in Aus don't get kickbacks but do seem happy to prescribe multiple meds. I am now fairly stable on my current regime although I do rapid cycle it is in much smaller waves so I can remain functional.