hi. im glad your td is gone now. ever tried trileptal? its "off label" for bipolar I. chemically, its a lot like tegretol, but far less toxic, fewer drug-drug interactions, minimal blood work.

i take a low dose of lamictal w/ trileptal. i think there's a wide dosage range...some people take 1800mgs/day. once you go past 1200 or so, adverse effects become more of an issue.

so...yeah. personally, trileptal has helped me a lot. maybe some gabapentin, too? or lyrica? looking over your drugs list, the 1st thing that came to mind would be to drop the wellbutrin and drop the trazodone, in case they might be contributing to an upswing into mania. but...im --not-- trying to tell you what to do.

there's an older tca drug used for sleep now and then...surmontil. its an antidepressant, but its sedating, calms people down. not for everyone, especially since its (very) toxic in OD, but...maybe that, or hydroxyzine, gabapentin, lyrica, etc. could help you get some sleep w/o triggering mood episodes. .just a thought.