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Well, I have bipolar disorder. From what my pdoc has told me and from everything I've read, giving someone who is bipolar an AD can send them into a severe manic state that's nearly impossible to get out of. My pdoc said that AD's have to be VERY carefully mixed with mood stabilizers to prevent this if an AD is needed.

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pdoc said "very carefully mixed" which means SSRI's are still an option.

Current literature on bipolar and SSRI's are changing the trend of avoiding SSRI's (for bipolar disorder) to using SSRI's as a first line med when a bipolar person is in depression. Check out Psychiatry News article `Switching' Risks Minimal In Bipolar Treatment by Jim Rosack

Lexapro is a SSRI that bipolars can take. ask your pdoc what he thinks about that drug (for you).