Carbamazepine
[Equetro] A well tolerated option for bipolar mania and mixed states (but you’ll need to adjust for drug interactions)
Mixed
Valproate
[Depakote] Good for bipolar mania/mixed and comorbid anxiety/alcoholism, but poorly tolerated and unsafe in pregnancy.
Lithium
Best long-term outcomes in bipolar (I or II) and recurrent depression. Prevents suicide. Treats mania, bp-depression and augments antidepressants.