For several years when I would treat depression like it was unipolar (withholding prior diagnosis) I would get Prozac or Cymbalta and it would pull me out of depression, but I would get irritable and arrogant (I realized the former more than the latter). I did not realize it was hypomania. During that time I would have said zero and been wrong. It may be that Jennifer's pdoc thinks something like that is going on.

For about 20 years up until a couple of months ago, I got about 1 or 2 a year. With new meds, I can't really make a prediction but I am on my third in 10 weeks.