My regular doc really discourages Olanzapine because of weight gain and gave me the ammunition to challenge the psychiatrist. It is an excellent PRN for mania. Can you trust yourself to take it? My two full-on manic events were 21 years apart, both triggered by prescriptions (diet pills and propanolol insomnia). Otherwise, just hypomania triggered mostly by stress. I was only diagnosed because of manic event #2 in 2015.

Seroquel seems to be not as effective. It’s great for sleep.

I’m not clear on lithium in terms of weight gain. I’m struggling more than I used to.

I am now in a high stress job. I need the lithium and the gabapentin to manage the anxiety, and the stress. I also see a therapist for anxiety. These all help quite a bit.