Alicia,
I cannot tell you how happy I am to see your post because I am in the same situation! First, I want to recommend a website to you called mybipolarpregnancy.com This girl has great information and it is neat to see her progress. My OB sent me to a perinatologist and a genetic counselor in regards to meds. They absoultely advised me not to take any meds and to try biofeedback. So, in April I tried going off of my meds. My pdoc took me off of them fairly quickly and it did not end well. Part circumstance and part lack of meds. I went into a terrible depression that took me a month to recover from. My pdoc and I have decided we are going to try again to come off of the meds this summer, but much slower. My pdoc is very supportive of my desire to have a baby and he wants me to try Deplin, which is a natural form of folate (already needed in pregnancy). He also wants me to stay on my Lamictal. Yes, there is the risk of cleft palate, but we have decided that the benefits of me being stable are more important. He now has to get my OB to see that. My OB is at the top women's hospital in Orlando and they are very good. I am already high risk because I had severe preeclampsia with my first child, so add in the Bipolar and it is even more risky, but I know that I have to try. I currently take four meds (Lamictal, Geodon, Xanax XR, and Pristiq). I feel safe staying on the Lamictal because there is much more research about it in pregnancy than the other meds. I will add Deplin to use as an antidepressant. Please personal message me and let me know how everything is going. I know it is tough, but you can do it!