My doc told me lamictal works for both ends, but better at controlling depression than mania. That seemed to be the case for me with slight breakthrough on both ends. Unfortunately started getting side effects as titrating up, so back down I go. Titrating Latuda up. That seems to be better. I was seeing things out of the corner of my eyes and heard a few things I am pretty sure weren't there for the last week, that's gone a low dose Latuda already.