This is just my opinion and experiences with other BPII people. I am a believer that SSRI's are not a good fit for us. I have no science to back this up. I take and SNRI-cymbalta and it was part of the magic cocktail that got me out of the hospital. Tricyclics seem to be ok but IME and others in my life if an antidepressant is needed the SNRI class works best. IMO the SSRI class is what is responsible for flipping BP II's into mania or depression but again I have no proof, only opinion.
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