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Honestly I'd try ECT first...it stops my mania but there is a shit load of possible side effects...I'm not bashing it...it probably saved my life but between the weight gain, the weekly blood work and all the associated nasties I would try everything else first 

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Yeah but it's also indicated for reducing suicide for those patients as well as treatment resistant schizophrenia. I'm not saying I would recommend it...but hey if you've tried everything else maybe there is a little logic  

Also it's used for bipolar all the time which means it can help depressive swings...it did for me 

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