I am in a serious manic state, have been for 2 weeks. I am up all night, and am suffering most of the symptoms I read are associated with Bipolar disorder. Aside from those, the biggest problem I'm having is awful concentration problems, short-term memory loss, and I'm just really confused all the time. My doctor has started me on trileptal, but he is insisting that the concentration and confusion stuff is ADD in addition to Bipolar Disorder, and wants me to take Concerta. I actually asked if he was crazy because I thought Concerta set me off on a manic episode a few years ago, told him i am afraid to take it. He still thinks I need to take it to help with the ADD stuff, says it rarely causes mania. I am reading all over that it's common for Concerta to do just that, and even their website warns of it on the front page. Am I not communicating correctly or is he a bad doctor? ugh.