Hi all. Been taking lamotrigine off label from my psych provider. Intended to help with emotional instability.

I have been slowly titrating up. Had some ups and downs but now I feel like I’m nearly at the worst I’ve ever been.

I have been on 200 for the past 3 weeks. My mood has not stabilized in that time and I am getting much worse.

A few days after the increase to 200 my coworker noticed an immediate and dramatic negative shift in mood and appearance. Prior to that, I was on 150 for 5 weeks. Initially I was doing pretty good but I had a steady decline for the entirety of the 5th week before I was upped to 200.

My bros please help. This is destroying my career and relationships. It has immediate and significant impacts on my life.

I sent my provider an urgent message in her portal but yeah I need to figure out this shit asap.

Not sure if I am having a paradoxical reaction to every psych med I am trying or what??? Also yes I am in therapy but in the process of changing to one who is a lot more strucutred in her approach and less of a talk therapist.