Apparently Depakote isn't working, and my team and I decided I can not take any antipsychotics anymore. Lithium has nearly killed me several times too.

Tonight my pdoc wants me to take trazodone and do bloodwork tomorrow to see if I can go up on the Depakote safely (I know I can't based on my last labs, and I don't think my valproic acid levels, AST, or ALT have gotten any lower).

I have never really heard of people treating BP1-mania with anything but APs, lithium, depakote, or tegretol, but I know there are less heavy hitting anticonvulsants that might help like gabapentin or trileptal.