Weighing in on the other end of the scale... I'm on 200mg Lamictal/day and have alprazolam (Xanax) for anxiety/panic attacks as needed. I'm strongly suspecting I need a meds adjustment, which may well mean adding another to the mix or adjusting the current. Different things work differently and at different amounts for different people (is that enough differents? ), which is why it's not at all unusual to see so many mixes. It's not a bad thing in and of itself, as people often seem to think. The important thing is *what works* regardless of how few or many that means.