"Pardon this question: Is school something you just have to get through for a certification of some sort, or do you really have to learn? "

I'm going to school to become an accountant. Certainly not the easiest career path! But I've worked in various accounting jobs for the last 12 years and want to move on to the next level. Better job, more intellectual stimulation, more money. The problem right now is that I'm taking 5 classes. I took 3 over the summer and was bored, so I thought that 5 would be a good course load for me. And I'm not working while in school. 5 classes has turned out to be too many classes given the medications I'm on. My pdoc finally let me get off Prozac which sent my anxiety through the roof. I literally felt terrorized all the time. Now I'm on Zoloft which helps a little, I suppose, but not much. I don't sleep well on it. I'll be seeing my doctor again next Monday.

"Have they offered you any proof of their assertion? Are you in a position to give them an ultimatum on lamotrigine?"

No, they haven't - just anecdotal evidence. Funny how they won't accept anecdotal evidence from us but will stick by it when it supports their views. So many psych meds are used off-label that all we really have is anecdotal evidence and not hard, empirical evidence. But then problems arise with empirical evidence because of the people comprising the sample in the experiment don't necessarily reflect the general population of people taking those medications. Also, dosaging is based on 180 lb. 6 ft white males - hardly applicable to the rest of the population. So, what useful and relevant evidence do we really have? I digress...