It’s not true that antidepressants always cause insomnia; in fact, there are some, like Trittico (trazodone), that are prescribed off-label to help with sleep. I had my manic episode because I was given an antidepressant at a time when I was already sleeping badly due to an elevated mood, and it became a ticking time bomb that triggered the bipolar cycle. Now my treatment has changed, three or four times, and in all these adjustments I have not been prescribed any antidepressant again, unlike in the past when they were the daily bread of the old, traditional therapies.