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Part of the issues I believe is med compliance. I include myself in this. After 3rd child and being told by an ob to stop my meds it was post pardum and mania. I went inpatient for 4 days and they found the magic antidepressant. For me it is cymbalta. SNRI’s in my antecdotal experience are really effective for people with bipolar 2. I know 5 others that have a similar opinion. I was not compliant for a few years with an increase in my geodon and had fugue states that scared my family to death. I finally complied until about 10 months ago when it was determined that i had awful TD, had to wean off rather quickly and start TD med called
Ingrezza
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