Sometimes our medications don't work 100%. I have had several patients who have a manic episode despite being on a medication. One key is picking up warning signs that mania is coming; then you can try making rapid med adjustments to prevent the episode from becoming a full blown manic episode.
This may require use of multiple meds at once. Make sure you tell your new psychiatrist your concerns and as many details about your medication history as possible. Sometimes it takes time to really fine tune the medications to help someone feel stable.
Also, if you haven't done it yet, consider getting some psychotherapy...perhaps see a CBT specialist (cognitive behavioral therapy). Let me know if you need more help.
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