for background I am currently suffering anhedonia (and suicidal ideation bc of it) and sexual dysfunction from 3month use of risperidone last year. I had recovered maybe 40-50% and then took steps back in recovery from these effects because I was hospitalized and took olanzepine for about a month during another episode. I am not someone who rapid cycles, first bipolar symptom was when i was 19 and it was just hypomania, then a manic episode with psychosis when i was 25 and 26. Olanzepine was not as bad as risperidone but if I have another manic episode next spring... I just can not keep surrendering my life to antipsychotic dysfunction every time I have an episode. Like it takes months or years to recover. Haldol was bad as well. Does anyone manage acute mania successfully without antipsychotics? I don't get hypersexual or spend a lot of money, i mainly have trouble sleeping and get scared and have spiritual delusions. Had a couple audio hallucinations during the episodes. I currently only take lithium at a fairly low dose of 300mg AM and 600mg PM