That does sound like a ton of pills to take. Just tell him it's too much and you need to simplify. I'm really no qualified expert or anything, but lithium shouldn't be needed if lamictal is working. And same for ambien vs latuda for sleep. I just discussed going to latuda (she said it's like seroquel but better/newer, less weight gain) if ambien doesn't work with my pdoc. Sorry you're overloaded with the pills, just talk to him. Your purple hair looks fabulous though