Ok I'm in the process of having a sub type of bipolar disorder confirmed or ruled out and my Psychiatrist believes if I do have it its ultra rapid cycling bipolar 2 with mixed features and his 1st line treatment will be Topamax 150-250 mg's along with Lamictal 150+ mg's or low dose Seroquel 100 mg max not for antipsychotic effect but as something to keep me calm. I currently take Zoloft 100 mg's and Latuda 60 mg's which isn't working. If he decides to add Topamax and Lamictal could I add Trazodone for help sleeping? I also don't want to stop the Zoloft because its helped depression and hasn't made my mood swings any worse but it hasn't stopped them