"i had tried over 15 other medications including lithium before going on abilify to stop severe episode of mania. i have been on 30 mg dose for 10 years with no side effects and no manic episodes since starting this med. it is definitely my &quot;miracle&quot; drug. i also took cymbalta for 9 years with fairly good results, but still experienced some depression. recently switched to pristiq which seems to be working so far. also take focalin for attention and xanax for sleep. i work full time in a high-stress environment and was able to finish a doctoral degree with this med. i wish i knew more about the long-term effects. but i won&#039;t change it for anything."