I'm presently at 200 mgs of Lamictal, along with 2 mgs of clonazepam.
At this point, I think I have been noticing a little bit of a mild improvement in the dp/dr, which is more than I've noticed in it in more than twenty-five years.
Needless to say, I'm looking forward to my next dosage increase.
peacedove our stories sound similar, you can see my story on my website ... see the WWW link below my post. Like you, my DP/DR started first at about age 4/5 ... existential thinking, but it wasn't scary at all. Later I became anxious and depressed. I am 46 have chronic DP/DR and have what I now believe to be a chronic mood disorder -- it might be on the bipolar spectrum, "mood dysregulation" -- which has many aspects of Borderline.
It ticks me off I was never properly diagnosed really since I got on Lamictal.
I am on my best combo now. Klonopin 6mg, Lamictal 200mg, and Celexa 40mg. I am slowly tapering off 50mg of Nortriptyline which was used to boost my Celexa. It seems now to be unnecessary.
Klonopin gave me significant relief from my DP/DR in 1987, but never has been a cure. I tried many SSRIs when they came out and Celexa was the best.
The Lamictal has done two subtle yet dramatic things (I only notice this after the fact, looking back over the years -- for me).
1. I am less afraid of losing myself in the DP/DR. The intensity seems to have stabilized at a bearable level. It ADDED to the efficacy of the Klonopin.
2. It has stabilized my mood. I still have some serious depressive episodes, usually (unfortunately at that time of month). I just went through a pretty bad one, but it seems so strange, I can't understand what I was so hopeless about. Depression is a really odd bird.
My goal meds wise is what my doctor in L.A. was heading for ... possibly Lamictal ALONE (at a higher dose). When I push it higher I get very sleepy. If I lower my other meds, which I'm starting to do, I may be able to increase the Lamictal.
I would hang in there. Mine has been a long and bumpy road, but as enigma says the Lamictal/Klonopin combo for him has been a postive one for him after years of this. Same for me.
Note I have stopped updating my website. My diagnosis currently is Depersonalization Disorder. I have also been diagnosed with GAD. GAD w/DP/DR symptoms made more sense. NOW, mood dysregulation w/anxiety and DP/DR is the most likely diagnosis for me. Who knows?
Keep the faith!
I like to hear of positive Lamictal stories. I think it can help a certain group of us. Also, don't be afraid of side effects. I have none at 200mg. I've been on Lamictal since 1999 or therabouts. It HAS made a difference.