You sound borderline rather than bipolar. Instead of atypicals, I would try the older typical AP called Haldol, which has shown promise in BPD. You can use it PRN (as needed as opposed to on a maintenance basis). Nothing in your description fits bipolar as far as I can see. If you have bipolar, trying SSRI's alone (without atypicals or a mood stabilizer) can be very dangerous. It sounds like you need a deeper evaluation. A neuropsychological assessment would help clear things for you, but costs a lot of money. If you have an insurance that would cover it, I would definitely recommend it.
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Dx: Bipolar I w/Psychotic Features
Rx: Seroquel ER 550 mg, Depakote ER 1000 mg, Melatonin 6 mg, Atarax 50 mg.
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