I'm actually on Lamictal AND Lithium. It doesn't have to be one or the other, apparently. Then again, I understand your frustrations with your doc because I'm quite frustrated with mine. I think I'm overmedicated yet any time I ask about reducing a dose, she points out some stupid thing I did that *might* be manic. Maybe I just had too much caffeine! Or maybe I was just an idiot! Not EVERYTHING is a manic episode! And am I not allowed to have some amount of energy, and feel happy? I feel like any time I get close to being energetic and happy, she thinks I'm going manic so she brings me back down. It sucks.