I live with bipolar disorder type 2. I was diagnosed in 2001, and I’ve been on many different medications. In 2013, my prescriber switched me off Abilify-Depakote combination to Latuda. It works wonderfully for me. My last hospitalization was 2012. I now work full time and am dating a good man. Finding the right medicine is not easy. I’m sorry that you feel so flat while on the full dose of your medicine. I understand. I fully understand the lost words. I often forget the simplest words, and I just stand there with my mouth open. On Latuda, I don’t have the loss of creativity. I still write. However, I do notice that when I’m not working, I tend to just sit and scroll through Facebook a lot. I subscribe to 2 magazines, and I read those, which is a good alternative to FB. For me, the flat affect is preferable to the return of depression and the debilitating suicidal thoughts. I got very close to suicide once. I had the plan and was ready to carry it out when I was saved by the phone ringing. I can’t bear the thought of being in that black pit of despair again. Depression is so awful. Words do not describe it well. I do not give advice, but I will suggest that you talk to your doctor again. Ask about alternatives to Topamax. Bipolar disorder is a horrible burden. I wish you all the luck in the world. PM me if you want. I write a blog about how I cope.