I have schizoaffective it seems. Major depressive type + bipolar thanks to a bad reaction to an antidepressant, with a few other ones. Schizoaffective is rarer than even schizophrenia. It means that I am less likely to have negative symptoms, but that I also have a mood disorder like major depression.

I'm in the middle of a med change right now. I'm weaning off my mood stabilizer for bipolar1 from Lamictal to Topamax. My Effexor(SNRI) and Klonoppin should help with depressive episodes. I can handle the manic rage better than the depressive episodes. I'm just going to have to wride them out. In two weeks ill start a low dosage of Topamax at 25mg, then in a week I go to 50 mg. 50 mg is the first low thereapueitc dosage for bipolar.

I'm staying on Geodon for bipolar and my psychotic episodes. I love Geodon. So my new cocktail will:

Geodon 80mg
Topamax 50mg (until I find the right dosage)
and the lowest dosage of Effexor possible. Maybe I can get off of it completely.

I'm going to do little bumps here and there very carefully with my doctors permission to find just the right balance. Hopefully, Topmax, like Lithium and Lamictal, also stops my panic attacks. We'll see though. The reason for the switch to Topamax is for more of a emotional range and to lose the weight gained from lamictal.