My older (19 year old) son received a provisional diagnosis of bp1 early last year, but in October (the same month his brother was hospitalized for stimulant induced mania and psychosis)he was placed on cymbalta 30 mg for anxiety and depression. Two weeks ago he had a rapid manic switch with severe psychosis and has been in hospital for the past 10 days, received three shots of haldol to calm him and been placed on depakote, risperdol and klonopin. I have some questions, does this confirm bipolar 1 diagnosis or could it just be a reaction to low dose cymbalta? Secondly, he now looks like a zombie and can barely stay awake, still delusional though, is it normal to be so sleepy after a severe mania or is it just the medication and how long will it take for him to recover? I feel so sorry for him as he does not abuse drugs and has tried so hard to deal with his mental health through diet and exercise. His brother does abuse drugs and has been away in treatment since October with conflicting diagnoses (bp1, borderline, dsyruptive mood disorder etc). Thank you!