Thank you again

I'm doing a bit better- less flat, but still anxious with periods of s/s thoughts.
I'm so glad that my little nephew was there! We're not expecting a return visit for next year. We just went because it was my mother's would-be 60th and a store's grand opening.

Surprisingly, holidays are usually very relaxed. My cousin is going to be 18- she's usually pretty quiet and in good behavior during dinner. Then she throws a fit and hides when my aunt tells her she can't leave and see her friends.

Mari,
I was forced to go to the ER before by my former pdoc (the witch) after she increased effexor, leading to mania.
They discharged me with the recommendation that I seek another MH opinion.
I wouldn't hesitate to go to the ER if needed.


Bizi,
Yes, I was manic when I started posting. I've been dealing mostly with mania and periods of normal mood with anxiety (I guess that never goes away).
I wanted my effexor decreased because of this, but my current pdoc held off last month because of the possibility of mood change d/t the change of seasons....
Here's a list of my current MH meds/dosages:

Lamictal 150mg daily
Effexor 150mg am, 75mg pm
Xanax 0.5mg 3Xdaily, PRN
Trazodone 100mg at bedtime, for sleep

I take 6 other meds. not including vits/mins and OTCs for constipation.

I see my psychologist the 25th, and the pdoc on the 26th.

Kay