You already know.. bipolar is BOTH ''up & down''. I have to say this carefully.. my research (relating to my daughter is bipolar) indicated that anti depressants r RISKY for someone who is bipolar. If u think about it.. anti depressant would push ''up''.. so, what happens when the bipolar ALSO pushes u ''up''?? NIMH (Natl Inst. Mental Health) actually has a precaution about exactly this.
On the other hand.. depakote is a mood STABILIZER, which normally works to moderate the extremes of both sides. Moods r normal, ok? We ALL feel both happy or sad. It is the extremity of those feelings that gets into being bipolar. So, what the Dr says about it being both, is RIGHT.
I see exactly what u r saying, as to concerns about the two of them conflicting with each other. So, personally, I'd prefer to focus on the one that targets both the ups/downs. Just makes more sense, right?
No.. 1250 is absolutely not a huge dosage. The ''right'' dose depends on many things.. no one is the same as to how extreme the ends of the moods are. For safety sake.. he should be starting u LOW, & increasing it in increments, until it ''kicks in''. That is how they insure that u r not taking MORE than is needed. No one knows for sure what the therapeutic level is, so it is a bit of trial & error.
Your levels needed can fluctuate. Let is say 1250 works good. You get into a real stressful thing that pushes u over the edge. So, what did work, may need increasing then. Or, ur body might later develop a tolerance thing that means it does not work as it did. Like persons who r now developing resistance to antibiotics, if u r aware of this.
Also.. u seem aware, & this is fantastic. You can HELP the meds, by educating yourself on how to be alert to moods, & alternate ways to manage them. The standard stuff like walking is positive to get people out of feeling 'down'. Push yourself to get out of the house with some friends. Someone who KNOWS they r 'up' (close to manic) could force themselves to do something calming. Like, choosing to do a relaxing, moderate thing like listening to jazz music at home, instead of going out to a club, which would be maybe over stimulating. Keep ur sleep schedule as regular as u can. Use ur power along with the meds to try & manage the extremes.
Above all.. understand bipolar is not ur 'fault', u r not a bad person. The more accepting of this that u are, the more u feel ok with getting the help u need.