I had been on risperidone so long that it stopped working for me, and I got worse before I got better. The clinic where I go for therapy added medication management, and I had a provider who transitioned me from risperidone to lamotrigine (it was a slow transition over 12 weeks). Unfortunately, she left mid medication change (I had to change providers twice in one year with this clinic). I got off to an awkward start with the new provider, missed my first appointment due to their error and the second appointment due to my error, but I would be willing to try another session with the new provider. Anyway, I’m doing so much better on lamotrigine! My mind is clearer, I have less intrusive thoughts, and when I do, I’m able to move past them easier. My anxiety is more about the state of the world and less about someone coming to hurt me. Now my biggest battle is not hitting the snooze, and I came up with a system of daily, weekly, monthly, and yearly rewards for meeting my goals, and a little bit of grace for myself when I miss a goal now and then. I think things are really going to start better this fall, I just have to be more mindful about my patience.