Sir, I suffer from bipolar I disorder. My psychiatrist had been treating me with a combination of Tab. Divalproex 2000 mg at night [SR Tab.] with Tab. Risperidone 1 mg. Recently, the doctor added Tab. Sertraline 50 mg in morning.

Could this addition of sertraline cause worsening of my disease in long term, like rapid cycling/ mixed states/ treatment-refractory disease/ or switch to mania over years? What should I do?