You have to be your own advocate. If you don't think it works for you, I would be explaining why to the pdoc. I had to do that with Lamictal. I felt like once I was on it and the dose was moved up, it just made everything worse. I lucked out that at my next appointment my pdoc was on maternity leave and the other doc allowed me to come off of it. It was rocky at first, but I turned out alright. I know you really hate Trileptal. I hope you are able to get off of it. Take care!