If you have trouble staying on meds lamictal might be an issue. If you miss 3 (?) doses in a row you have to start titrating up again and it takes weeks to go from the beginning to a therapeutic level. And as I understand it it's important not to just jump back on at a prior level it after a break because it can increase the risk of the rash. You'd need to talk to a dr about that as I only sort of know this but it would be something you'd need to commit to for best results.