I definitely have a more atypical presentation (although I do get some euphoric manias, but that's not a majority of the time). I did have a decent response to lithium except after a 4.9 level after stockpiling for a while, my kidneys are trash. I can't take antipsychotics unless it's PRN because I need sedation, and even then I can't take them more than a couple days in a row without wanting to rip my skin off and remove all my limbs. Right now my only mood stabilizer is Trileptal, but I couldn't tell you how it's working. I'm not doing well, but I'm not saying it wouldn't work if I weren't either high or withdrawaling 24/7