I just had my pdoc visit and see my therapist later. We discussed so many different options. I prefer add-ons rather than taking away things completely, out of fear. She suggested possibly eliminating Lamictal all together and starting fresh with almost all different meds, which had me panicking since I've been on it for so long, and the taper down would take forever from the current 400 mg. Plus, only time would tell if doing that would be the right decision.

She's giving the Lamictal a last shot in the next week, adding Gabapentin, and slightly increasing Seroquel. My mind was spinning with all her different ideas though, and it's hard already that one of my main issues, aside from rapid cycling mania is mixed anxiety! I'm praying her moderate changes are going to work, so it won't come to all these drastic changes that may not even work anyway. I feel like I'm one big experiment and don't want everything to change around! I'd like to think to an extent, I have some ability to cope.