Hi Sunshinesworld. Hopefully all will be OK. I assume you see the IOP psychiatrist a lot. If you notice any major changes let the doc know.

Are you more concerned with depression or mania (or mixed)? If mania, maybe your Risperdal can be upped or a different antipsychotic added? I obviously don't know your IOP doctor's strategy or how you'll react, but I know that for some people lowering or eliminating antidepressants can help stabilize. Not just mania, but even other states. I've even read one article about a study suggesting they can worsen depression in some people, especially those with rapid cycling.