Yes, that's the tricky question. My Pdoc doesn't have any backup, but if needed I should at least be able to e-mail him. I do have a backup therapist who I am seeing tomorrow, but she can't do anything med-wise.

I definitely don't want to give up on the Lamictal yet after all the good stories I've heard. Maybe it's just that it's causing me to go up slightly before it starts hitting the depressive symptoms? I don't know, but for now the symptoms are still manageable, they just have me a bit worried that they'll evolve into dysphoric mania.