Checking in for the second time today with an update. I had to stop lamictal because of the ECTs (lamictal would prevent me from having a seizure). My pdoc thinks the reason I'm backsliding is because I went off the lamictal. He is increasing my Effexor. Hopefully that'll help. He also doesn't think I should be increasing the length of time between ECTs, as was planned, if I'm feeling worse. Will address this with my ECT pdoc next time I see him.

The other thing I did was go off abilify a couple of weeks ago because we thought it may be contributing to my migraine. Since my migraine stopped before I went off the abilify, I'm restarting the abilify. Hopefully that'll help too. Tackling this bipolar depression has become a part-time job!