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AngelGirl - There are now a myriad of mood stabilizers on the market as of late. Perhaps a change to Epival (Depakote in the US: aka divalproex), lithium, Lamictal (lamotrigine), Neurontin (gabapentin), or a number of others, may be in order. Lamictal has antidepressant activities which help many who suffer from BPII. There are also mood stabilizers like Zyprexa (olanzapine) Risperdal (risperidone) or Seroquel (quetiazine) which can work as adjuncts (add-ons) to your current regimen or as replacements. Or rather than increasing the antidepressant, maybe an increase in the Tegretol (carbamazepine) may help.

Ask your doctor if any of these options may be right for you. There are several options available. I hope that this is of some help. - Cam

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Hi Cam

Unfortunately, I've already tried and have ruled out Lithium, Depakote, Lamictal, Seroquel, and Topomax. I've heard that Zyprexa can cause significant weight gain so I don't want to go anywhere near that one. I've also had my Tegretol increased. Seems to have had no effect whatsoever. It just seems to me that my meds are not working for me.

Personally, I can live with the hypomania (if it manifests itself as euphoria and not irritability and hostility), it's the debilitating depression that gets to me, and that's the state that I normally reside in. I have very little time, if any, inbetween the two extremes.