For what it's worth, the cognitive issues such as verbal and writing problems (and probably some of the other issues) don't necessarily have to be med-related. I have many of the same issues but I attribute them to long-term severe depression and derealization. Depression can cause a wide range of very intense and disorienting cognitive and physical issues, including dizziness and extreme fatigue. I was on various meds, including Lamictal, but none of them for more than a few months. Even now that I'm on no meds, I still have these issues, and looking back in my mood charts I can see I had much the same issues before I ever started meds. I'm not saying your issues aren't med related or suggesting that you're depressed. I only mean to say that meds aren't the only possible cause to consider, and it can be really tough differentiating between med side effects and bipolar symptoms sometimes.