i've been on a pretty stable cocktail of meds for the past \~12 years or so. seroquel, lithium, and xanax. it's worked alright for me, not great but not terrible either. for reference i'm bp2 with psychotic features. 

a few weeks ago i had a paranoid episode that really freaked me out. i believe my increasingly stressful work environment set me off (the stress is temporary and will remedy, it's not a huge problem!). i called my psych and told her what happened. she suggested adding lamictal to the mix to see if it stabilized me at all. i told her i needed a few weeks to think about it. 

previously we had been talking about me getting TMS and possibly tapering down on my meds. i feel kind of bummed about possibly adding more. i'm not stoked on the idea to be honest. but, you know, i'm also not stoked on being depressed and paranoid all the time. 

i'm curious if anyone has added lamictal to a similar cocktail and had a good outcome? i was on lamitcal when i was a teenager and it didn't do a lot for me. 

if anyone has any advice/experience they'd be down to share i'd really appreciate it. thanks.