Hi-I’ve not been on this site for 2.5 years, so I don’t know your situation really. But I agree with Christina above. That said, I had a really ****** pdoc prescribe Rexulti for me. Keep in mind the Rexulti website say this:
REXULTI is indicated for:
Use as an adjunctive therapy to antidepressants in adults with major depressive disorder
Treatment of schizophrenia in adults

Notice there is no mention of bipolar. That’s an off label use and in my case a disastrous one. I had a complete meltdown while taking it. My new pdoc, whom I really like, told me that Rexulti is ineffective for bipolar patients. At least for me, bipolar 1. So maybe you are sliding because Rexulti was not a good fit for you to begin with. Just a possibility. Maybe you could ask to switch. If you are going to take an AP, it might as well be effective.

By the way I am feeling really spoiled and fortunate. My doc spends 1/2 hour with me! May you could find a different doc if this one treats you in only 5 minutes. My first doc did that unless I called in distress, then he’d schedule me for 1/2 hour.