So she is more likely not to have it, particularly since nobody else in the family seems to. The likelihood would increase if her brother's illness started very young. If she does turn out to have it, though, early detection and treatment will help her to do well in life in spite of it. Getting samples is also difficult at times. In terms of the breakouts, people in our clinic generally do ok with the anti-acne antibiotic medicines like Doxycycline.
Mood stabilizers can often be effective for depression but can take longer.
But when mood stabilizers alone don't work antidepressants can be valuable. Usually they don't need to be taken for a long time after the depression clears, but can be tapered. Mixed means that you have times when parts of depression and mania are there at the same time. For example, somebody can be activated and have inflated self-importance, but can also feel hopeless about the future, not enjoy anything, and be unpleasantly anxious. Usually when someone has that sort of problem a combination of treatments may work best.