I have a question about psychopharmacology for Bipolar dxo. I understand there are medications for the depression part of Bipolar, and the manic part. The depression part is treated with TCAs, SSRIs, MAOIs, and SNRIs. The mania is treated with Lithium, anticonvulsants and antipsychotics. My question...is the patient on both year around? Or do they take the TCAs during their depression phase and the Lithium during their manic phase? If so, who decides when they take what? I am confused. Please help clear this up for me.