In this podcast episode, Dr. Faisal Rafiq shares a case of a patient with bipolar disorder who had difficulty responding to traditional mood stabilizing medications. He also discusses the classical model of treating bipolar disorder and when it may break down. He suggests adapting the framework, removing mood stabilizers in some cases and using antipsychotics as a primary anchor. Dr. Rafiq also provides some clinical pearls and final thoughts, emphasizing the importance of working with a supervisor and having a strategy and when.