risperidone (related to paliperidone) was not good for me. aripiprazole has been a lot easier for me to deal with. fluvoxamine didn't work out for me, probably because of drug+drug interactions.

sorry about this. there's also 'post-psychotic' depression to consider. I think its more common in Schizophrenia, but Bipolar I people report crashes after mania and psychosis, also.

try to talk to the doctor about it, if you can. there are plenty of other psych drugs out there. i also like aripiprazole because it does not cause prolactin elevation, which is common with risperidone...i dont know about paliperidone.