Hello, From everything I have read, it sounds like Risperdal may be "my new best friend" given that my recurring dysphoric mania makes me "want to smash everything in sight." But I am VERY concerned about the cardiac risks (family history), metabolic changes, and EPS. I am more comfortable with the RIGHT typicals than most atypicals. Pdoc prefers mid-potency typicals like perphenezine for a patient like me but I tried that and it was like taking a water pill. Had zero effect on me. He suggested Vraylar instead but I don't like taking brand new drugs. For example, my best success on ANY drug has been on a MAOI.