I was on Lamictal for about eight years 300 mg a day and it left me with chronic SI which was something I have struggled with even before taking that medication but I feel like it made it worse. I think it may have been making mixed states worse. I finally took the plunge a couple months ago and started on lithium. I was like ya I can’t imagine this being some magical pill. They upped it a month ago and I just want to say holy cow it works. I have not had much SI over past couple of weeks. Anger issues still there but right now blood pressure is high so...need to work on that. Anyway I know lithium gets a bad rap but I wanted to share my experience I really hope it continues to work well for me and it doesn’t poison me because I’m really afraid of that but wanted to share my experience for anyone who is struggling with SI.