Saphris made me manic. Not sedating at all. Abilify made me restless. Also not sedating. Topamax caused suicial thoughts but helped with sleep and latuda caused suicidal thoughts and actions. I told my pdoc no more APs for awhile my brain cant take it. I hate the mixed state that Im stuck in or was stuck in. Im actually feeling okay right now. I just think an AP isnt necessary. I dont have psychosis and hypomania isnt over the top. Its the depression for me. But this isnt about me sorry. I hear you though with questioning the need for APs. Some ppl need them and thats ok.