After a bad manic episode, which seem to come every 2 or 3 years, I get severely depressed and have no energy or motivation to do anything. Partly that is due to the consequences of having made bad decisions, and realizing my delusions of grandeur are not true but only part.

I can't take regular anti depressants because they can flip me back to mania. I took wellbutrin for awhile and that helped a little bit with the worst of the depression but also made my anxiety worse. Now I am just on rexulti 1 mg and 50 mg lyrica and 50 mcg synthroid. Rexulti has kept me stable. I am only mildly depressed, not severely like when I came out of mania. I am hoping this is the end of my manias