Your Lamictal dose is small to start with. They have to titrate up slowly due to the risk of Stevens-Johnson syndrome (I'm sure your pdoc explained this). By contrast, I'm on the "whoa dude, that's really high" dose and am basically maxed out at 400 mg.

Glad you went in and got some answers. FWIW, I think your pdoc is right on with the diagnosis. It may change as time goes by and symptoms wax and wane; I started out with bipolar NOS and ended up being diagnosed bipolar 1 during a severe depressive episode, which is not usually when a person's BP dx gets "upgraded". I think my IP pdoc must have gone through my records and seen evidence that my manias met the criteria for BP 1. But even if he pulled that diagnosis out of his arse, three more mental health care providers did study my history and re-diagnosed me with it three more times, so I guess I'd better start believing it. LOL

Please do keep us informed of your progress. There's a pretty steep learning curve with this illness, so read everything you can about it. Participate in studies if you can and you're sure everything is above board. And of course, talk to us anytime---we've all been there, done that, and we continue to fight this beast every day. Hugs.