I often go through this. Hypomania feels good most of the time, especially when it is a break from depression. However, I usually end up starting to make bad decisions when I'm at that point. Then, I feel a desire to stay up rather than going to sleep, which means me only taking 50 mg of my Seroquel instead of 200 mg (by breaking a 100 mg pill in half). Although the initial feeling of not being so sedated feels good at first, it always catches up to me as far as mood, behavior, anxiety level, and choices. Then, I mourn losses, because hypomania sometimes interferes with my expectations in relationships. It's like people can't keep up with me the way I intend to when hypomanic.

I would definitely bring up to the pdoc that you do not want to feel as sedated (or go through your side effects), but you are still very concerned about becoming hypomanic or manic...since the "feeling good" part is usually an illusion. Maybe he/she can make adjustments? Perhaps a slightly lower dose in the AP's would make a difference, but of course, only a doctor could decide. It's hard sometimes to tell whether the side effects are "worth it. However, after hypomania catching up with me, I made the bold decision to go up to my recommended dose, in spite of the fatigue. Maybe my body will re-adjust and the time it's taken can make a difference. We'll see, but since my moods aren't exactly stable, I'm willing to at least try. Just my two cents to think about, if you can relate.