Hi everyone. I'm dealing with a lot tonight and I would love to know I'm not alone. I was put on Trileptal a couple months ago and I was astonished about how much better I felt. I felt so much more level, my mania was basically gone and my depressive symptoms were non-existent. Then this past week I felt it creeping back up. It started with hypomania (sleeplessness, agitation, panic). I have this horrible symptom where I wake up screaming and it started happening again a couple weeks ago. And now, the depressive episode has started. I can feel it. I thought I would never have to feel this again after the medication was helping so much. But, it's back, and I feel so hopeless. I'm only on 300 mg a day of the Trileptal so maybe I just need a higher dose? I don't know. God, I really thought I found the solution.