Hi bpcyclist. It wasn't a result of tapering down, but I can say that about 12 years ago when I was put on the combination of 300 mg Lamictal and some amount of Abilify that I gradually became more and more manic until I was extremely severely manic with psychosis. I recall having terribly dysfunctional thinking at the end and ended up in the psych hospital. I believe it was #6 or 7 of 10. Also, I believe it was at that time that I was rehospitalized only 24 or 48 hours after being released to PHP. Actually, the whole period is very fuzzy in my memory.