i'm glad that the pdoc made whatever changes were necessary. i hope that the lamictal will help her soon. since it was only yesterday that it was prescribed you gotta give it a little time to settle into her system and take effect. has the doctor ever prescribed a sleep med for her? maybe if they give her something for sleep and she takes it at the same time each day it may help with getting her to bed on regular schedule and possibly avoid her getting overly involved in projects. now this may or may not work, because some people who are experiencing mania have a difficult time falling asleep even with the help of a sleep med. i know that is true for me at least. again i hope the lamictal helps.