Not to sabatoge the thread- I think this is still Occupational Therapist (OT)-
Before I forget, maybe by light dosage you mean he just needs to cross the therapuetic threshold of medications, but not be at the upper end of it. That would be determined by blood draws and psychiatrist and how well difficult child is doing on that dosage.
Anyway- that was useful info Smallworld, I think I'll note that for future reference. I had thought my difficult child would do better on lamictol because he has more depressive periods (or used to) than manic periods. But when we tried it difficult child was in a hypomanic or manic state and lamictol caused him to stay awake, hyper of course, for about 32+ hours straight. The question is- does the effectiveness of the medication or reaction to the medication differ depending on what state the cycling person is in when that medication is started? In other words, would difficult child had a better reaction to lamictol if it had been started while he was in a stable or depressive state?
