The only AD that’s ever worked for me long term is an MAOI called emsam. The combination of emsam and invega kept me stable for nearly two years. Unfortunately I could not continue the invega due to physical side effects. I’ve yet to find a med combo that has worked as well.

As for therapy, my therapist tells me she has seen me work very hard to get out of episodes when they occur and that she believes I have prevented an episode from getting worse using the skills I learned. I am not sure this is true but I do trust her judgment better than my own, especially now that I am in a depressed state.