After ten years on various ssri's my doctor had me raise my prozac to 40 mg to combat OCD and anxiety. That caused my anxiety to soar and I got definitivelt manic, spending 4,000 dollars in a week. I also had great difficulty keeping to my daily allowance of klonopin, hence my week in the psych ward.
Since my pdoc recognized my BP symptoms, he placed me on lamictal and stopped the prozac. I still take zyprexa at night. Three days into this regimen, I am feeling tons better and having an easy time leaving the klonopin alone. It appears that better days are ahead.