I'm almost certain going on Abilify would mean getting tapering off the Geodon. It doesn't necessarily mean you would go off the lamictal though… I didn't.

Abnormal muscle movements are on the list of possible side effects for Abilify (and a lot of other meds). You happen to know someone who has experienced that while taking it, but that doesn't make it more common or increase your risk.

Being on the meds we have to take can definitely cause a decline in cognitive function, but for some people BP itself can be a factor too, especially if it goes un or under treated for a long period of time. I think I fall into both of those categories (plus the added insult from MS).

I'm glad you are going to see your pdoc. I hope that she's willing to try a different medication. Before you make a suggestion, see what she has in mind...