the first place to start with natural remedies is amino acids and fish oil (omega 3). Most say that those two remedies help a lot with mood swings and severity of them. They are just simple vitamins that some people say help a lot to balance out the internal part of BP and also ADHD.
I had taken Depakote as my very first medicine with BP. Depakote is an anticonvulsant and works as a mood stabilizer. This is the first drug (and Lithium) that are the major medicines that doctors turn to for treatment of BP. Unfortunately, I was one of the people that got many side effects associated with Depakote. D has quite a few of side effects, but almost all being mild to moderate. Side effects that I got was increased appetite, hair loss, troubles concentrating, and sleepiness. Side effects associated with the general public include hair loss, concentration problems, sluggishness, sedation, and impairment of mental function. Your daughter may not get these side effects as severe, or maybe none at all; it depends on the person. Depakote can be a wonderful drug for the right person so consider it as one of your options.
Lamictal - This is also a mood stabilizer. I have heard MANY amazing things about this medication; everyone that I've talked to just loves it and loves having little to no side effects, unlike Depakote. Unfortunately I take it right now and it hasnt kicked in yet. I would def. consider giving these two medications a try; they are both highly talked about and both have their pros and cons, but the con to Depakote for me was the side effects, and for Lamictal in general takes 3 weeks - 10 weeks to kick in; I've heard patients taking it that it took up to 6 months to work. Hense the reason I'm still staying on it.
Lithium is the first drug most Doctors turn to because it helps control all aspects of BP, from concentration to rapid cycling and even hallucinations and delirium. This is the oldest, and coicidentally the "miracle" drug for most BP patients. Like depakote, anticonvulsants work as mood stabilizers. In studies, Lithium produces no effect in 30 percent of people and some cannot tolerate the side effects. In a recent article, Lithium is the only drug approved for the treatment of both acute mania and maintenance therapy; however it has a poor response rate, high relapse rate, and less than great side effects. Most doctors in AZ aren't even allowed to administer Lithium unless completely needed as a last resort. Lithium also has a high rate of toxicity in patients. If you don't drink enough water, Lithium can produce toxicity in the body. If you drink too much, Lithium ends up producing no effect whatsoever. But carefully monitered, Lithium can be a great medicine.
I do not know much about Topamax, Abilify, and Geodon, but I do know that Topamax is a mood stabilizer, so it has primarily the same effects as Depakote and Lamictal.
If you do decide to take a mood stabilizer and they are not working as well as planned, consider talking to your doctor about an anti depressant to balance out the negative side effects associated with these drugs. Most doctors say that they don't want to put an antidepressant on a BP patient because it could send the patient into a manic state, but if their manics are productive and hypomanic anyways, who wouldn't want the perfect happy child? =) Once you find the right balance with drugs, which may take a while, most of her issues with OCD, ADHD, and bipolar will learn to work together and diminish all at the same time.
Hope this helps a little. =) And I hope the best with your daughter; I know some friends that have gone to places like your daughter is and they learn SO much about themselves and dramatically ( and positively) change their behaviors. I will be keeping her in my thoughts!
God bless, -Allie