Thanks so much for your response, deliquesce. I appreciate it. In fact, my psychiatrist will be lowering the dose of Lamictal and Abilify while also considering raising the dose of the Parnate. I agree with you, of course, regarding the importance of sleep--believe me, I know it.

I had a full physical exam by my general practitioner a few months ago but my psychiatrist has told me that before if and when he does raise the dose of Parnate from 60mg to 80 mg that I should have another exam: blood pressure, liver functions, etc.

Thanks again.