sugahorse; have you spoken to your p-doc about this? I can't remember when you were put on the lamictal. How long were you told to stay at 100 mg until you start to increase it? The average therapeutic dose is 200 mg. I take mine split between 2 doses am/pm at 100 mg.

When you say the depression spell is short and intense are you talking about an hour and then your mood becomes stable or hypomanic or do you then return to a mild depression. This may also be a result of drinking alcohol. I know that I have had some issues with drinking and my mood.

Either way I would suggest calling your p-doc.