Well-we decided to put difficult child 2 on Lamictil. I feel guilty about trying a new medication because he's already on two....but he's still not where he should be. We've been struggling with this decision for over a year. Basically, I feel like difficult child 2 is on the manic side..he's been getting more hyper all week-non-stop singing.. I know that lamicitil can be beneficial for dealing with depressive qualities, but does it help with mania? difficult child in general is much more hyper than down...but he does get really down and overhwelmed.. I hope I made the right decision in deciding between Lamicitil versus trileptal. I do know that smallworld mentioned that sometimes the kids get a bit hyper while increasing medications..but he was already hyper.