I totally agree with blue. I have never heard of this business of lamictal countering the effect of ketamine--it makes no sense, scientifically. None. There is just no reason of it. But what do I know?

That lamictal is clearly not doing it for you. Why not give the ketamine a fair shot? I would definitely strongly look at d/cing that lamictal, myself. Just a thought...

Have you ever tried Emsam? What does your aerobic exercise look like these days? It is very effective.