Speaking as a bp 1 person with a history of crushing depression and multiple S attempts, I am not a fan of the broad generalization that bp 1 patients should never be on an antidepressant because they will all instantly become manic. Again, as I have said before, I believe that a good number of US psychiatrists de-prioritize depression management in bp 1, often believing that, as long as the pt. isn't manic, everything's just great!!! Well, I think that's bullsh**. Our quality of life DOES freaking matter. Asking us to be depressed for years on end (as I was) so you can feel good about us not thinking we're Jesus is malpractice, in my optinion.