I am currently on 250mg of Lamictal. We went from 200mg to 250mg about two months ago. There hasn't been an increase in effectiveness. I don't know if 150-200mg had much of an increase either. I began Lamotrigine last summer and the titration was very slow primarily because I didn't schedule regular visits.

I have actually taken Wellbutrin for the better part of a year, when I was originally experiencing depression problems before I was diagnosed bipolar 2. I had never been on Wellbutrin and a mood stabilzer at the same time.

I feel as though I have a different expression of hypomania than others. If you want to read it, I wrote a description of it in this thread: http://forums.psychcentral.com/bipol...nce-poles.html

During the time I took Wellbutrin, it is very difficult to decide whether or not I had "manic" symptoms at the time. I could barely sleep and I was very anxious. However, and I'm not sure why anymore, my psychiatrist thought that this med was the most helpful for me, particularly because I talked about how it improved my focus which was very important education wise. Lately somnolence, lack of motivation, etc have been symptoms I have been dealing with, so she also asserts that Wellbutrin will be effective in the right way now that I am on a mood stabilizer.

However, anxiety has also been a big factor in how I feel, and Wellbutrin is supposedly not good for that.

The plan now is to just wait for next Monday's appointment, where I am sure that I will be receiving buproprion. Because that psychiatrist is moving, I will be finding a new one, that is step two. Step three is therapy. At least I have a plan now!