It's been two years since my last mania. Invega puts the kaibosh on any inklings of mania. I do still suffer from frequent depression. I've had ECT twice in the past two years for unrelenting black depression. I've been stable for three months since my last depression. I was heading toward hypomania when I first started emsam but it was put down within a day. The last hypomania I had was September after I started taking Sam-e supplement. It lasted for about a week. It was great!

I don't miss mania at all but I do miss hypomania. Hypomania for me is euphoric and productive and generally excellent. But I don't mind being stable either. And I definitely don't miss mania. Mania always devolves into a mixed episode and possible psychosis for me so I'd much rather stay away.