I am starting a high stress job as a chaplain in a prison. There will be fights and nasty confrontations. But this is what I've wanted to do for a long time. And I went to ministry school for this. The main problem is I'm still manic. It's been a month and 1200mg of lithium and 30mg of abilify is not making it go away. I don't mind being somewhat hypomanic, but every couple days I have a psychotic episode. I really need help, but I am supposed to start this job which I am really excited for. I start it next week. My pdoc says my bipolar 1 is more severe, which I don't really know if there is severity. You're either bipolar or you're not. But I am just trying to follow what he says. I just hope this mania doesn't get in the way of this job because it really is my dream job. I will be doing inner healing and healing prayer for the inmates. Should I talk to my pdoc about adding Depakote? or maybe switching antipsychotics?