My daughter started out on Lexapro, then was hospitalized
and was released on Lexapro, Wellbutrin and Abilify and a diagnosis of MDD and Anxiety. Over the next few months her outpatient Pdoc, who she still sees, took her off the Lexapro after increasing her Abilify.
She then was hospitalized again
and was released with a diagnosis of Bipolar 2 and anxiety, and was on Tegratol, Nefazadone and Seroquel for insomnia. Her Pdoc pulled her off the Seroquel pretty quickly after her release, and then when it became obvious that she was still majorly depressed, he added Desipramine to the mix. This combo is starting to work and seems to be pulling her out of her depression.
Her PDoc isn't convinced she's Bipolar, but I think the reason he's leaving her on the Tegratol is because Anti-depressants trigger bipolar symptoms in her and the tegratol keeps her mood stabalized. There actually is a Bipolar 3 or 4 (can't remember which number now) that is for bipolar brought on by anti-depressants. The other is rapid cycling if I remember correctly. Her IP had told her she was Bipolar 2 with a mix of Bipolar 3 & 4 while she was IP, but released her with just a Bipolar 2 diagnosis.