Bizi... I've been on Celexa (generic form) for over 6 years... the doseage, when I've become suicidal, was upped by my doctor because I headed straight to see her each time its happened. Yes, thank goodness for insurance! Its covered for now. I know I'm lucky for that. No mood stabilizers - my doctor has never suggested anything else even when I have asked for sleep help. I've tried what my sister uses (because we are both on Celexa) but it gave me very disturbing dreams which affected the start of each day. For the most part, I sleep good.... and will try a little gravol when I'm feeling desperate.

Altho my doc knows I smoke, she is not open to discussing or learning how it has worked into my life. I've tried, a couple of times, to bring this up. Its difficult to find a "family" doctor so I hold onto her... but think it might be helpful to find someone who has actually studied the effects on bipolar.

I know, for some, it makes them extremely agitated and paranoid.
And I certainly don't condone it or recommend it to anyone... its just what works for me at this particular time in my life.

I read, in another thread, where the doctor looked at her watch... my doc did that a few times during our last visit... it shut me up, quick. Sad, but true!
sigh... but they are human, too.