As some background, I've got bipolar depression &amp; extremely low self-esteem which causes irritability/frustration, etc.

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I've taken Abilify &amp; Lexapro (separate occasions) and both sent me into a mental breakdown which landed me in the hospital (was panicking in the parking lot for 4 hours before I could get any help lol) because I was having a panic attack. My psychiatrist says this would be considered "mania" but I'm not sure if he's correct. I was given Ativan, which was also prescribed for me in case this happens again. It's been over a year since, but I keep it around just in-case.

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I take Lamictal for somatic nausea but it's not helping a ton with the depression so he put me on Trintellix additionally. I've yet to take it because I'm concerned with the possibility of the mania. Is there a chance this could happen? Should I take it anyway even if there's a chance of it going wrong? Should I push through it even if I get these symptoms?

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I'm sorry if this is not the best subreddit to post this on, I wasn't sure where else to go.