I had a horrible time with medications, lots of side effects I quit the Merry-go-round and just concentrated on life style changes and working with a T. It was hard work but it did work for a number of yrs.....or maybe it was just a natural remission? Then the bottom fell out and by happy coincidence they had marketed latuda, best ever med for me. I'm not planing on quoting but that can change so my only advice is to engage a smart T to help keep an eye on mood swings. I've found a good T can help with that.