I was diagnosed, at age 48, with bipolar I in November 08. I dont know why I was surprised, my mother is also bipolar, but I had always been the most laid back, stable person (or so I thought, and so did everyone who knows me) until May of 2008 when I began having sex with two coworkers (after 29 years of fidelity to my husband). Ever since last year, I have been hypersexual. It took months to get my meds to where I didnt feel like I had brainfog, etc. I see my psych this evening, and I would like to see if there is anything else that she can prescribe to help me with this situation. I not only have the sex, I get obsessed with it and whoever happens to be in my sight whenever I get this way (which is almost all my waking hours). I am currently taking 125mg lamictal and .5mg klonopin per day. I realize these are low dosages and that there are lots of other meds out there, but I have tried all these: tegratol, topamax, neurontin, depakote and seroquel (I think that is it, I refuse to even consider lithium because of my mothers experience with it), and felt like a space cadet or worse. Before I was diagnosed bp I was taking 1-2mg klonopin and 20mg paxil per day (for anxiety, both). I was NOT hypersexual while taking these meds, nor was I manic or depressed until the beginning of the sex last year. Maybe the mania was just in hiding....I dont know, but I do know I cannot keep up this pace. Not only am I going to get caught, but I may end up with a STD or something, not to mention losing my sanity. I have thought about asking the doc about Celexa, I have read that it is useful in treating hypersexuality. I am worried that an antidepressant might cause more mania though, so it is a lose-lose situation I am afraid. I dont want to mess with the meds too much, it took way too long to get as stable as I am. I am able to function now at least. p.s. have only had about 2 weeks of depression since i was diagnosed, mostly hypomania. I am not sure i have experienced a real bout of mania.