Seroquel (maybe a low dose?)
Olanzapine
If the anxiety is bad, why not a benzodiazepine such as clonazepam or lorazepam? Just thinking out loud! 
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Dx:*Bipolar 1 Ultradian Cycling; GAD; Insomnia
Rx: *Lamotrigine*200mg b.i.d (400mg total),*Aripiprazole*10mg q.d. (PM),*Bupropion*450mg q.d.,*Clonazepam*3mg t.i.d., Clonidine .3 mg q.d. (PM)
"Do what thou wilt shall be the whole of the law.." -- Aleister Crowley
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