Also, for the past two months or so I've been battling insomnia like I've never had to before. My psychiatrist told me Trazodone, which I suggested, would be a poor choice due to its serotonergic effect which could promote cycling. So he has me on 2mg of Ativan. I don't feel good being on such a high dose of Ativan and I feel helpless as I'm unable to sleep without it. This is another new element of my bipolar disorder that's got me frustrated and beat down.