I have a couple of ideas.

Most of my anxiety decreased along with depression within a few weeks of starting lithium. As afraid of lithium as I was, I now love it. I have also read lithium is effective in preventing suicide.

Nonetheless, I still have anxiety. Gabapentin works great on bipolar anxiety. Just google the words gabapentin bipolar anxiety. I don’t even require the full dose.

I can take 100mg for morning anxiety (less so I can still work). I take 300 mg in the afternoon and 600mg evening. This stuff is relaxing!! It kicks in harder than Vicodin, seriously. It is not addictive, but can be abused for the buzz. Some people here say it doesn’t work for them. I say it is strong and effective.

Give them 2 hours to reach full effectiveness.

I quit taking the low dose Seroquel for sleep (25 mg). I’m relaxed now at night and sleep just fine with the gabapentin.