I think I'm going to have to keep an eye on how things go. I'm starting to get irritable, impulsive, distractable, increased energy and SI. It's mixing in with the depression. Too early to say if it's going to stick and maybe it's just a coincidence, but it could be the famous activating effect from the Lamictal. I'm hoping it will get better, and maybe sleep will help (going to take some benzos tonight).