Thanks to everyone who offered help. I would love a new doctor, but we already drive over 1 hr to get to that one. Living in the middle of no where makes finding good doctors difficult. While I have been caring for mom for a while, I am beginning to learn that most doctors are not that helpful. They just seem to treat all patients the same, even when they are not. I have gotten more info from my own research and forums, like this one. She has a new PD doctor, so I will try to work closer with her. I think we need to pull back her meds some, as I am learning she is on a rather high dose of sinemet. I think we just need to find a comfortable medium between functioning with the PD symptoms while not blowing out the mental problems. But it can be difficult to manage her mania. Guess I should be grateful it is on periodic instead of constant. Thanks for listening, and offering me suggestions. Much appreciated.