Saw my pdoc yesterday. I will increase my Lamictal dose to 200 mg next week. I still can't tell if it is helping, but I think it may be? I definitely seem less depressed, but am sleeping a lot less as well, and still having outbursts of irritability. The irritability has improved overall though. He tried to ask me if I was feeling better, but with my moods cycling I told him that was like asking me if I would rather be very depressed, irritable, or happy but self destructive, so I really can't gauge that yet. Feeling happy for a couple days has not been a good indication. So, I guess I am hopeful that it will get better at 200 mg, but if not my pdoc said he will conclude it is not helping. Not sure what we would try at that point.