SDN Members don't see this ad. (About Ads) I have a 49 y/o male that's cycling into a mixed episode. C.C. of dysphoric agitation and depressed aggression. Stable for years on Depakote 2000mg BID and Lamictal 150mg daily. Recent VPA level of around 100. He's now non functional at work and has been verbally aggressive toward family and friends, with difficulty preventing physical aggression. Tried to convince him hospitalization would be best for safety, but he refused, and is not committable at this point. Added olanzapine 10mg qhs and 5mg in the am. Any experience and/or recommendations at this point.