Hi kdclement; were you on a different mood stabilizer prior to lamictal or is this your first mood stabilizer. I had issues with starting on lamictal, but this was because I had stopped my lithium prior to starting the lamictal (I was on no mood stabilizer for 2 weeks). I am now at 200 mg twice a day (I take 100 mg am/pm)

Lamictal isn't as good at controlling the highs, so it depends what your symptoms are, but some people need an add on med like abilify. If you haven't already I would speak suggest speaking to your Psychiatrist about your concerns. I find therapy helps, but I can say when my meds aren't right it's difficult to have any progress with therapy, so for me it's a combo of meds and therapy.