Well, for me, mood stabilizers for bipolar actually kicked the anxiety out. Much of the anxiety was from bipolar symptoms. I do have an anxiety med PRN but I don't use it now that my mood stabilizers and antidepressants are at the "right" levels. And yeah, Lamictal takes awhile to get to the right dosage - if you can wait it out long enough, it may pleasantly surprise you. I'm amazed at how well it works for me.

The psychotic symptoms might also get better with mood stabilizers, hard to tell. The antipsychotics seem like a real mess as far as meds go, but they really seem to help a lot of people. And you are talking about psychotic symptoms (delusions), so an antipsychotic med might help reduce the stress - maybe you can wait until the mood stabilizers are at a workable level first, though?

Staying on meds is tough once they make you feel like you're fine. It's a big, big problem for bipolar people. Symptoms tend to return with a vengeance if you stop the meds, though - the meds are the reason you feel fine, if the dx was wrong, the meds wouldn't be helping you! Tough to accept, but so many of us do the on-off-on-off thing with meds and nearly every time it seems to go badly when we're off meds.