I was diagnosed with bipolar 1 back in March and I was having really bad manic symptoms then including high energy, pressured speech, and after starting Depakote, voices in my head (which eventually stopped). I've been to the ER 5 times this year alone (4 over manic symptoms, one for depressed) and I am on Depakote, Risperdal, Prozac, and Xanax. I can't seem to find equilibrium and I've been through probably 3 cycles this year and am on my 4th. I'm having a hard time right now because I was just put on Prozac as an antidepressant after nearly attempting suicide on an impulse, and it makes me feel strange when I take it. Plus I'm restless which is something it can cause so I'm not sure if that means I'm having side effects or a mixed episode. The main thing I want to get to is is there any way to know where the meds are or aren't helping? I personally don't know because BP is different every day and so how can you tell? I've been trying to find a good mixture for about 5 months now and I'm trying not to lose patience but I don't know just how effective my meds actually are when I have symptoms all the time except when not in a cycle. Sorry if this post is a bit hard to follow, my brain kinda wants to jump all over.