That’s a tough spot to be in if he won’t take meds.

It seems odd that he wasn’t started on a mood stabilizer for the downside...at least prescribed one. Mania crashdown into depression is extremely predictable and typical.

Lamactil is what is typically prescribed for bipolar depression as a mood stabilizer where there is high risk of mania. I can’t take it because it gives me a terrible headache. It has rare but serious/fatal effect that has to be considered and watched for.