Options for bipolar depression? i take stimulants for it but crashing every night. need 24hr relief for normal life. tried latuda + other antipsychotics. didnt work. lamictal also not working and if i go above 250mg it makes me non functional.

Tried Lithium?: It’s a hard disorder to treat, Lithium is effective so is Lamictal. Antidepressants use is tricky since it may push you in to mania. If the above two mood stabilizers fail individually try two mood stabilizer with an antidepressant

Change or Adjust Med: Stimulants are not the treatment of choice for bipolar depression, IF you have true bipolar depression you probably need another mood stabilizer. You should have a psychiatric evaluation with proper diagnosis and treatment plan. Sometimes the meds may need to be changed or adjusted. Therapy may also be helpful.

Your medication should be managed by a Psychiatrist who understands your medical and psychological history. If you are not confident in your Doctor please see another for a second opinion. Please see a Clinical Psychologist with expertise in multiple types of psychotherapy to help.