some people who start with severe, agitated and/or psychotic depression end up with bipolar I. I think the connection is really strong for younger people presenting with psychotic depression. the skeptic in me wonders if its the natural progression of things, or if its treatment. just sayin'....

risperidone, to me, can be depressing at high enough doses. of course, that's me. my current professional/prescriber person describes risperidone as "somewhat atypical," as in...kinda like the old drugs, kinda like the new drugs. dosage seems to be key.

latuda is reputed to be effective for depression, so there's that...plus, i don't think it carries the same TD risk or prolactin elevation as risperidone. weight gain and meabolic stuff is in latuda's favor, too. i don't know about akathisia.

hope things get better for you.