I've been on lamictal for quite a while and it's been effective for the most part. I also take a low dose of gabapentin, welbutrin, klonopin, and a few other things for physical ailments. I might should clarify that I have good doctors, both in terms of skills and understanding, but my concern is if I voice this, they'll want to ramp up medications and I wouldn't be surprised if they brought up the hospital. Oh wait, he already did, which is why I agreed to try lithium. I accepted maintenance medications years ago, but lithium to me represents failure. I also believe this is temporary and is situational in nature. I also think the preoccupation is more about the OCD then anything.