Since then he has had 3 minor episodes that didn't require hospitalization. Right now he is taking Depakote, Lithium and Zyprexa. I think he's overmedicated or on the wrong medication. The lithium has affected his thyroid and the doctor is weaning him off that medication. I do not know anything about him, but here are a few medications to discuss with his doctor.
Initial results suggest it is very effective in bipolars as a solo agent.
It causes no weight gain, lethargy, or sedation. If you can find an area close to you where the study is being done, it is an option. Depakote and lithium both cause tremors, but especially Depakote. Depakote also causes weight gain. There are clinical trials ongoing for this, so like the aripiprazole, hospitalization and medication are free.