I have also been diagnosed with BP1 with psychotic features. My pdoc wants me on the least amount of meds possible. I’ve been stable for a year now on a low dose of Lithium and Geoden. I’m so thankful I’m not drugged to the eyeballs unnecessarily. However, when in a severe episode I am put on high doses of several meds until I’m stable. Being stable without awful side effects is the goal.