imyourmonster; I'm sorry you couldn't stay on lithium. Lamictal for many people needs an add on med to help control the highs, so that may be why the combo between litium and lamictal worked well for you. Perhaps you could ask your p-doc to try you on lamictal and perhaps Abilify (atypical anti-psychotic).

For me meds are 60% of managing the bipolar and the other 40% is diet, exercise, therapy etc. I know trying new meds can be highly frustrating and it's the unfortunate process many of us with BP have to go through.

I would definitely bring it up to your p-doc. I had spent almost 3 years alternating between mild and major depression. I'm happy with my current combo, but I have only been on it since the end of May.