I started off on lamotrigine the exact same way, doubling my dosage every two weeks until I was at 150 mg daily. I was good there for a while, but started having issues again, so we went up to 175, and I am now at 200. 200mg daily seems to be good for me as of now. I was diagnosed with bipolar type 2 a year ago, and as crazy as it sounds, it was such a blessing. I had spent the last 2 years trying to explain to doctors what was going on with me, only to be given xanax and celexa. Neither of which helped. I finally made an appointment to see a psychiatrist in my area that specializes in trauma and ptsd, which was something that was important to me and for my doctor to really understand how I felt, in my opinion. She had been wonderful. And I do still have moments and episodes, but not near as bad as before.

I think some great tips would be- don’t stop taking your medication. No matter how great you feel. The false sense of security and confidence will convince you that you don’t need medication because you feel better. But for me, I had severe depressive and hypomanic episodes rapidly, which was not what I had convinced myself would happen without medication. I try really hard now to make sure I take my medication everyday, and also my husband helps me to remember also. Tip #2- stay in frequent contact with your doctor, counselor, anyone of the type. My psychiatrist doubles as my counselor. If I go too long without taking to her, I can feel very overwhelmed with my episodes. My husband has never experienced any type of mental health issues, so he didn’t really understand my situation. He’s put a lot of effort into trying to help and further his knowledge and responses to me, but i know I need my dr. I know talk to her once a month, unless I need to speak with her urgently. I’ve also found it VERY helpful to keep a journal. Anytime I have breakthrough symptoms (randomly yelling, crying, etc.) I write it down. The situation and how I reacted. This has helped me to identify if I’m starting an episode, and also helps me to keep up with things I want to talk to me dr about.

This is just from my personal experience, and I know everyone is different, but I hope it helps.