Pdocs tell me that I have mixed episodes much of the time. I agree. I take a fairly low dose of Lamictal and Paxil. I've been taking a very low dose of Seroquel, but I don't think it does anything except make me very sleepy. Meditation and music are very helpful to me, as is keeping busy...I do art work and creative things, errands, chores. Sleep hygiene is essential. (My sleep has been screwed up due to the extreme heat and wildfires we're having and the odd sleep pattern is causing me to feel a bit too hypomanic...it's getting a little strange.)