I've been on bipolar meds for ~40 years. For about a five-year period, from perhaps 2006 to 2011, I was sustained solely on Lamictal, and then the rollercoaster started again. My meds have thus been increased, both in number and dosage. The frequency and intensity of episodes have suddenly become uncontrollable, resulting in three hospitalizations this year alone and frightening instability. I'm finally on a regimen that seems to be working. I've always been anxious to keep meds to a minimum but am concerned for the future and don't think I can bear the financial and emotional impact of another year like this one.

I have an appointment this afternoon with my pdoc to assess the situation (I see him every three weeks until we get a handle on things) and hope we can at least discuss a tapering schedule.