Hmmm.. It took me a while to find the right doc, but I'm in a big city with dozens or more options. If you are Bipolar Depressed and Lamictal is not addressing it as much as you need, your pdoc should offer some solution. Maybe Lexapro was not the answer. Other SSRIs can help w drepression with less uppity for you possibly. Paxil was a more calming SSRI for me.

Outside of the SSRI game, Trileptal and maybe Mirapex are common treatments for Bipolar Depression. Is he offering no options at all? He should have some ideas other than being stumped just sticking with Lamictal.

PM me as needed. Good luck!

moogs