My adult daughter is bipolar and leans towards mania as well. After injuring her back and being on a bunch of narcotics she had a full psychotic break last year. I can tell you after getting off of the wrong antidepressant (Effexor ER), she is now taking 100 mg of Lamotrigine and 1.5 mg of Vraylar every other day and she’s the best she’s been for along time.

It’s a lifetime of management. She feels her best when she’s working out at least 5 days a week, going to bed early (sleep is the key!) and she doesn’t drink alcohol. She only works part time hours (32). She has a great relationship and her fiancé is loving, caring and very balanced. She has agreed she will always listen and obey him if he tells her she’s not ok. They love each other. He has gone to therapy with her. He makes sure she takes her meds nightly. Managing yourself and your sleep can really help aid your healthy living with a partner but you need to live a healthy lifestyle each and every day! Relationships are possible!