I'm on lamictal, lexapro, and risperdal right now. My doc is going to drop risperdal and add lithium. Increase the lexapro.(We are eventually going to max it out at 60mg) and I am going to suggest adding wellbutrin(heard too many great things about this drug) fatigue, depression, adhd, quitting smoking(heard it helps with all of these) I thinks this will be a great combo!