Not sure of your dx: looks like it is probably bipolar 1. Also, only know the meds by their brand names so I don't know for sure if you mentioned these mood stabilizers (atypical anti-psychotics)--Abilify & Geodon.

Old anti-depressant that has the side effect of drowsiness so my doc has prescribed it for me to take at night as I have a history of insomnia that leads to mania & then a crash into depression: Trazodone.

Other anti-depressants off the top of my head that I've been on that aren't on the list above: Busbar, Zoloft, tricyclics (old-time anti-depressants), MOAI's (haven't been on these myself).

Also, has your doc heard about how Provigil can be helpful for bipolar? It's for narcolepsy, but has been shown in studies to be helpful in bipolar.

Is your doc experimenting with a combo of meds?
It took a full year for me to get a "cocktail" that worked & it has had to be adjusted periodically (fell into a depression one winter & had Wellbutrin added; had an overdose after a long period of hypo mania that I didn't report to doc as I didn't realize how dangerous it was so meds are being adjusted now).

Right now: Abilify, Lamictal, Provigil, Trazodone, Klonopin, Topamax.

Also, Concerta for ADD, Synthroid for low thyroid, B-12 shots monthly for pernicious anemia (don't forget to look for other ailments that cause depression as low thyroid & anemia do).

ECT's are another option. Very different nowadays from the horror stories of the past. VNS (Vagus Nerve Stimulator)--friend just had that implanted for treatment-resistant depression after trying all the meds & ECT's. She just had the surgery 2 weeks ago so too soon to get any results as it was just "turned on" last week.

Also, there is another new method of "brain stimulation" that I believe works on the vagus nerve but does not involve the implanting of a device. Just read about it, but can't remember the exact name.

Also, talk to your doc about supplements--fish oil? folic acid? zinc? Studies showing lots of these can benefit the mood. My doc considers exercise a "medication" & even jokingly wrote me a script for 30 min. exercise 5 days a week as I was slacking off & she is convinced it is helpful for depression, anxiety, & energy as well as physical health.

Diet needs to be considered.

Going to therapy? Support groups? Having a balanced lifestyle--work, relaxation, relationships, etc.

There is hope!--Suzy