I am of the opinion that I rapid cycle! I am on 400mg of Lamictal a day. He wants to put me on Lithium, but it scare the heck out of me. There are a number of possible side effects, one being weight gain. I just got my weight under control and don't want to balloon back up. --- I like the place I am right now mentally. I feel good about myself..., but I know in the next day or two I will sink into the depths of hell. ---We also talked about moving my Lamictal up to 600mg per day? -- What do you think? --- Do the Lamictal first, or immediately go with the Lithium. --- Another thing I am considering is the current events in my life, loss of home, no work, no money, kids with health problems, still getting over the death of my wife 3 years ago, no friends, no social life, I have horrible self esteem, I don't want to do anything... Seems that these are having a pretty large impact on my mental state. Meds aren't going to make things all better on these fronts. I am just wondering if once I get past the move out of my home.. if things might be a bit better. I wonder if meds will somehow make my coping skills that much better. If I make a move on my meds, once the events in my life settle down, how easily will it be to reduce my drugs? --- Will the next trying event in my life mean even higher doses of medicine? Therapy has not been: so - so. I almost feel like the therapist answer is: You can be who you want to be and you just need to push through it. --- I feel my circumstance is tough.