Ha, I was kind of hoping for the opposite, as I'm now starting Lamictal and would like to have it as a monotherapy. I'm on lithium currently but I have no clue whether it helps. At the same time when I started lithium I got into a really bad mixed episode that I'm still recovering from, and because so much was happening at the same time I don't know how much worse it would have gotten without the lithium, or how much worse (or better) it would be right now. So yeah, I guess starting meds while so unstable is far from ideal because it makes it impossible to judge the effects.