I have been on Lamictal for 6 years, increasing steadily throughout that time. I am now on 150 mg twice a day (300 total). I had a baby 6 weeks ago after enduring an entire pregnancy of depression hell. I was good for awhile after my baby was born, no post partum or anything like that, but now my symptoms are creeping back in. I'm delving into projects in a fury, becoming angry and snapping at my partner for no reason and then sinking into severe apathy. 

This is usually how I feel when I need to up my meds, but my therapist made it sound like I'm at the max dose for Lamictal. I have loved it so much, I have zero side effects and it has mostly made me feel "normal" with the usual exceptions. I'm worried about adding an antidepressant because I hear so much about side effects with all of them. I felt like I had found my miracle cure, that I could just be OK, but things are starting to slip again. 

I'm meeting with a psychiatrist in two weeks and want to have some ideas ahead of time so that I don't blindly accept what they have to tell me. In my experience, it has been good to have done my own research and advocate for myself and my personal needs.