I don't know if I can help you, but can say I've been exactly in your shoes. I, too, rapid cycle. For about 8 mo. in 2010 I had a psychiatrist who did more harm than good, nearly ending in my suicide. I also have tried nearly everything on the market, making it difficult to find a successful regimen. I'm currently on Wellbutrin, Lamictal, Cymbalta and Clozapine. The clozapine is the most recent addition and has made a huge improvement. There are downfalls, though.