@Moose72 Can you see someone else? I know this varies; it would be hard for me to get in with anyone else where I go but I don't think most places are as strict as where I go/who my pdoc trusts with her patients (if I saw someone else it would probably be a resident).

Have you been on other anti-seizure/mood stabilizers like trileptal, tegretol, depakote, topirimate? I was even on Keppra once although that was a long time ago and I've never heard of anyone else trying it. But if you are running out of options it's worth bringing up as a last ditch thing. Before I went on clozaril we went through absolutely every drug possible to see if they'd work instead and still be safe for me. ECT was considered but they decided I wasn't a good candidate at the time. I don't remember why. But I do understand the feeling of "what now?" and I went through a few weeks of that with my pdoc on vacation.