I was being treated for bipolar disorder since 1999 and was on all types of medication, lithium worked best, but the shaking became too severe. So I changed doctors and he gave me Focalin XR, well after 2 days on this I broke out into a very severe rash on my neck and chest so he had me quit. Now he is supposed to put me on something else, still waiting for his call 6 days now! I read however that bipolar and add go hand and hand and that a medicine called Guanfacine is supposed to be very good for add and bipolar if taken along with another stimulant such as adderall or concerta, I will ask him about that. Let you know what he said.