The answer for me has been to get off of medications and use treatments that promote good health and mental well-being in a general context. At the same time I engage in specific therapies for issues such as insomnia, depression, mania, and fatigue.

I have found sleep, diet, and exercise tantamount to stability. There is no substitute for sleep and I have found Dark Therapy extremely useful in maintaining a healthy sleep cycle. I've learned a great deal about diet and at this point in time believe that what we consume has profound effects on our mental health. What many consider to be a good, 'healthy', diet is distant from what I've learned is necessary for optimal health and well-being. I am frankly surprised at the disparity between the two. Even though I walk/run about 7 miles a day I find high intensity interval training the most effective for dealing with depression. Yoga/Tai Chi helps a lot with stress, especially when I'm fatigued.

I also use Ashwagandha root extract and l-theanine for when I need a bit extra help. Once I've completed tapering off of lamotrigine I plan on exploring a few more substances which have some potential to help.

I normally produce better posts than this, but my withdrawal from lamotrigine is really beginning to take a toll on my focus and concentration.