Hey, 
I started lamictal 25mg about a week ago. Im also on Pristiq 100mg and I’ve been on it for over 3 years. Recently I’ve been having intense feelings of derealization. It feels like I’m stuck in a dream, or this isn’t real. My brain fog has been off the charts as well, and my perception of time is super warped. 1 hour feels like 5 minutes. Im worried about going into psychosis? Im recently diagnosed with BPD so i’m still learning. It’s really scaring me. Could it be from starting the lamictal?