Hi, I have bipolar 1 with psychosis too. I was not clear on what your question was.
I have Bipolar 2 and was placed on Lamictal 5 years ago at 200mg. I found for years I was stable with only little depression. Mostly happy and energetic enough to ride a bicycle and exercise regularly. But now the depression is longer and worse. I tried Cymbalta and too many side effects. I went off and felt better then certain triggers like toxic people bring me down. A change in routine sends me Manic. A few days ago I had to take 4 benadryl to come down off of it and stop it. So toxic people are absolutely not allowed in my life. I am seeing my Phychiatrist tomorrow to talk about what we can do.
Yes I have bipolar 1 wih psychotic features severe mania. I was trying to read about it online but it was giving me other information. When I go to my doc I am taking a list of medications so we can find out what is best for me.
There are a variety of specific types of bipolar, some where mania is the predominant feature and depression less so. Some mood stabilizers specifically treat mania better than depression so you could ask your psychiatrist about that.