I just upped my dose of Lamictal on Friday night. Last time I upped my dose I was having terrible mixed episodes, was unable to go into work from all the crying and fear, and injured myself during an angry outburst. Once it leveled out I was cycling every other week with random mixed episodes.

This time... I didn't feel all that different from when I was on a level dose? I mean, I'm having a lot less ups and downs... it's mainly up! But I also am having an even harder time focusing. It's murder to try to concentrate on something I don't want to do. But if it's something I want to do I'm hyper focused and don't even realize I started it until 3 hours later. I dunno what it is but every thought I have (that's not work related lol) I feel like I HAVE TO IT RIGHT AWAY THIS IS THE MOST IMPORTANT THING. It's like the message just speeds on by, doesn't even give my brain time to process what's happening and then I'm doing things I don't need to do. And, if I finally talk myself into sitting down to work I either have a panic attack or get really angry/twitchy? I'm still having a hard time sleeping... but this focus thing is killing me! I have to do my job and stay on a healthy schedule but my brain won't listen.

Does anyone have any suggestions for when they feel this way?