I currently take 30mg Abilify and 900mg lithium carbonate, daily. I was on Abilify, Depakote, and Zyprexa, and that wasn't good either. I kept getting blood work done, and it kept coming back worse and worse for my liver. So now I take Lithium and Abilify. Intially, I lost 20 lbs, but now I'm gaining it back. Also my liver is going back to normal. My main issue is the weight gain, and the fact that the new drug combo doesn't control my BP Mania very well. I still act crazy. I am thinking about switching the Lithium out for Lamictal for Mania. Lamictal doesn't cause weight gain, but it does potentially damage the liver. So, it may put me back where I started. Any advice? Any other drugs to consider? Mania is my main issue. I never get bipolar depression. Please help. The Lithium isn't very effective. I'm afraid of myself when I get manic. I just lose control, and hurt people (usually, not physically). My psychiatrist isn't any help. He expects me to research what I want, and, whatever it is, he gives it to me. I need help. Last month, I went 5 days without sleeping, then I went to a car dealership and bought a brand-new truck, with money I didn't have. Now, I am stuck with crazy high monthly payments. I still haven't come down from that manic episode. I have screwed my family, financially, for 7 years! I am a college-educated engineer, and I make good money. But, I have ruined my family's finances because of manic spending sprees. All this is complicated by the fact that I have been diagnosed with Asperger's Syndrome.