Hi dont know if this will help. I have 21 yr old pb daughter with psoriatic rheumatoid arthritis. diagnosis'd since 8, BiPolar (BP) since 3. We lived in MA and went to Dr Joseph Biederman at Mass General. I own't get into all the details, but after YEARS of many different drugs, this is my advice. Stay away from high levels of serequel (google at complaints/ lawsuits around it causing diabetes, weight gain, cardiac problems like we had heart racing, throat closing)lithium and depakote, which, besides causing "zombie effect", also requires blood draws ( lithium caused serious uncontrollable psoriasis in my daughter which triggered a permanent case of extremely painful Rheumatoid arthritis which she still suffers from Today), risperadol and zyprexa, which although great for rages ( I used it VERY sparingly and not all the time), causes HUGE unacceptable weight gain and again, google this, diabetes,and is now the subject of many lawsuits. I am running on here, but my point is, that as much as you can, avoid as many drugs as possible. I realize what I am saying, and I am trying to protect people as I wished I had someone doing this for me years ago. Omega brits, the only fish oil I know about that is specifically being used for mental illness along iwth autoimmune diseases and stroke and heart attack prevention has been double blind studied in Israel , Mass General and a host of other famous hospitals. Efficacy dose is 3 small caps or liquid, 2x a day. you can put it in their mouth while sleeping if they wont take pills or get angry. the book with the studies and research is Dr Stoll, The Omega 3 Connection. you can email me at * Heidi