My doctor decreased my Lamictal from 400 to 150 mg. The next day or day after that, I started to display symptoms of hypomania. The good hypomania was short lived because soon after, my mood became terribly mixed. I called her and she (well the doc she had on call for her--she was out of the office) increased my lamictal to 200 mg and my klonapin from .05 to 1.5 mg. Now, I am feeling depressed. Today I called her because I have not gotten better and have been having suicidal thoughts. Tonight, as I sit alone (my husband is in the basement, kids are asleep), I'm having strong suicidal urges. I have two random, unrelated questions. First, my doc thinks that the decrease in lamictal caused this horrendous episode. That would make sense except that it occurred just a day or two after the drop. I understand it should take a week or so for lamictal to leave your system. Any thoughts on this? Also, please can someone walk me through these suicidal urges? Just share what helps you. I don't want to go back to the hospital, please tell me it will all be alright. Hopefully soon I will post some non pitiful posts, sorry. Thank you all for your support.