20 years bipolar and been taking 900 mg lithium the whole time with 300 mg lamotragine… Hospitalized 8 times Over 20 years for mania…
95 percent of the year I’m depressed. They always gave me an antipsychotic while I’m hospitalized but I never continued. My situation is difficult because it’s not just one thing that puts me into mania… example such as drinking alcohol, lack or sleep, getting lots of sun and etc…. Ok now I was in the hospital last April for 2 weeks and I have stayed on serequel extended release because my dr strongly recommends me to… for depression and mood stabilizer… unfortunately it makes me feel really tired/can’t get out of bed, ridiculous cognitive issues and it’s almost like I feel hungover every morning…. I was originally taking 350mg but eventually lowered down to 100 mg. It’s been 4.5 month now. I want off but my dr says go back to 200mg and keep trying. I know it won’t work. Serequal makes me feel like absolute shit. Do I even need it? I’m thinking my biggest trigger was alcohol and lack of sleep and I quit drinking… any alternative drug recommendations would be greatly appreciated or what about take serequal only as needed? Or any other ideas…Also I’m asking you because I have the worst psychiatrist and I can not get a new one where I’m from-Vancouver bc… any ideas thoughts or opinions would be greatly appreciated with love! 
Paul