I have two psychiatrists (one is my CBT program therapist). They seem to be at odds over my medication. My lead psychiatrist has - after 5yrs - tweeked my medication to the point I am now relatively stable. As part of my Cognative Behaviour Therapy, my therapeutic psychiatrist has prescribed me Citalopram. The idea is that it help me with my Anxiety and, in particular, my obsessive behavior and tendancy to ruminate.

But, as the first pdoc has explained to me, there is the chance the SSRI could throw the balance out of whack - in particular cause a manic episode.

This is a frightening idea.