totally get your situation - lamictal can take forever to get to the right dose, and lithium also can take some time to take effect. leaving IP is like entering a new world, except not really, you know? i've done that kind of partial program before - when i went it was really just to keep us busy and do group therapy, art therapy etc. easier said than done, i know, but give your body time to adjust. be open with yourself and doctors. take it easy - going IP is traumatic in itself. I've had a lot of really unpleasant mixed episodes and those as well are so upsetting. sending hugs