I'm taking Lamictal now at maximum dose.....so I guess that's not really doing it's job, although I know things would even more out of control without it. I might have to go back to high dose Seroquel since my current 300-400 isn't quite right, but that means all the physical side effects and everything else that goes with the higher doses. Never been on Lithium.....my pdoc has talked about it, but we are really trying to avoid the constant blood work. She also talked about Risperdal before. I am nervous about it, but if there's any positive experiences without horrendous side effects that would defeat the purpose and make me more angry, then at least that would be something to consider. Hmm....