[QUOTE=kshow215]cymbalta caused hypomania for several weeks in me lamictal a mood stabilizer is better for bipolar individuals, for not being as likely to cause mania/hypomania and being very good for bipolar depression. Lithiam is a better choise for individuals with predominant mania, or in combination with cymbalta or other antidepressants.[/QUOTE
Medication all depends on the individual persons symptoms, reactions to different medications, and your doctors supervison, and opinion. The bottom line is that medication assisted treatment will most likely be a better alternative, than not.