@MuddyBoots I'm prone to depression and I usually run on the lower side but it mixes with rage and irritability in ways I can barely handle. If that makes sense. Lately I've been impulsive and self-destructive, keep going broke and giving into bad decisions like drinking. I have this feeling in my gut that Effexor will give me too much motivation and drive me wild lol. I experience hypomania but not mania so I feel like lithium may be too much for me. Also with my tendency to want to stop taking things I feel like I should be careful of that too. I feel like lamictal may be the best course of action for me if my current combination doesn't work. When I was on it I accidentally started on 100mg instead of the 25mg because of a pharmacy error, but thankfully I was fine. Thank you for your thoughts on this I appreciate your response.

@raspberrytorte Thank you for letting me know, I think that will be next my course of action