Hello... Thanks for your query. Bipolar disorder requires treatment with optimal number and dosage of mood stabilisers. We generally avoid anti-depressants as it can precipitate switch to mania. Hence you can report of your frequent depressive episodes to your psychiatrist since specific anti-depressant mood stabilisers like lamotrigine are now available which can be added to your drug regimen. It may require time but once stabilisers, bipolar patients do maintain well. Regards Dr Sundar Psychiatrist