I'm going to start this with my actual question and then provide some context.

Has anyone gone through an increase in anxiety starting lamotrigine, and if so what if anything were you able to do about it?

\*CONTEXT\*

Back in March I was sent to an Adult ADHD specialist, For years I was bouncing between ADHD meds and was looking to finally lock something down. Along with this I've suffered from depression the last year and a half from an AWFUL breakup, I've been doing therapy (mostly for trust issues) and while it's been a long road I can say I am getting better.

When I went for my appointment I got a bit of a slap in the face after filling out some questionnaires and doing a few reaction tests I was put in an office where I had a "Skype" appointment with the Doctor. This was just as covid was ramping up.

This entire conversation lasted a total of 10-15 minutes and consisted of this doctor I had never met before telling me along with ADHD I had BPD. At the time I had no idea what BPD and in this 10 minute appointment not much was explained to me.. The doctor sent me out the door with a prescription for Adderall (10mg now 20mg) and lamotrigine(gradual increase to 100mg) I'm waiting for my therapists office to reopen from covid to get a second opinion.

Being completely honest I've been keeping all this in my back pocket until I get that second opinion, My therapist knows about this new diagnosis and has me top of the list for a second assessment once they reopen but for the most part we have agreed to focus on my initial depression and trust issue during our phone call appointments. The reason I'm more laid back on it is my therapist who has known me 2+ years didn't exactly sound too confident of that diagnosis by the doctor who met me for 15 minutes tops.

About 2.5 months ago I started noticing I was clenching my jaw, biting my tongue and lip. This was to the point Id be leaving teeth marks on my tongue or getting aggressive pain in my back teeth before I even caught on I was doing it. The first thing I did was call my family doctor and ask to be switched off Adderall, I knew anxiety was a side effect, It was a brand new medication so felt like the right place to start. A month went by and it got worse..

Next I thought maybe the thoughts of BPD hanging over my head were causing me increased anxiety so I booked an appointment with my therapist specially to talk about that. The truth with that is I'm at peace with the idea I may have BPD. If it turned out to be true it would finally give a name to what I've been going through and give me something to attack for lack of a better word. To this point covid also hasn't increased my anxiety, I took up a new hobby of collecting basketball cards and have actually turned quite a nice profit while building up a personal collection of my favorite players

Next my family doctor started me on Buspirone (10mg 3x day) along with 1-2 50mg trazodone before bed to help me sleep. Today marks 6 weeks on Buspirone and while I've gotten better at noticing when i'm locking up my jaw it's still consistent, I just use the heads up to start chewing on a piece of gum until I go do something to distract myself (gym, walk, basketball etc)

I know this was a long walk for a short drink of water but wanted to provide context for this question. I am running out of options of things in the last few months that have caused this sudden increase in anxiety.

My next thought after exhausting every option listed above is call my family doctor and begin scaling back my lamotrigine until I get in for the second assessment because when things began to peak (2.5 months ago) was right around when I hit my current dose of 100mg, but before doing that I wanted to stop by here and get some feedback.

Thank you for any insight.