I've been on Topamax since April, used as a second mood stabilizer. I can't tolerate antipsychotics (Abilify, even 2.5mg, went very, VERY poorly), and upping my Lamical to 200mg induced ultradian cycling when I'm already technically considered ultra rapid cycling BPII.

It worked well for me. It personally didn't knock me out. It woke me up, strangely enough, which was annoying given it was a night med; however, I've heard it called "Dopamax" given it tends to knock you on your ***.

It didn't worsen my anxiety any. It stopped the ultradian cycling too. Sorry I'm a little late to the party on this one, but I hope you found a solution, and if you didn't start the Topamax, I'd say try it. I tolerated it pretty well, but everyone's brain chem is different. Helped a bit with the Conversion Disorder related headaches. :333