If you want to fail, you must be inconsistent – period!

I have that ‘deja vu’ feeling…..

After an MDT on Thursday, 08.01.2026, the team around Molly made a decision to increase the mood stabilisor lamotrigine to support Molly’s low mood. The blood trough resulted in reading her level as 1.8; the target therapeutic level for lamotrigine generally ranges from 3-15 mg/L for most adults. This could mean Molly’s level is too low at this time. I agreed with this decision with caution, I feel we are continuously trialling medications and without seeing improvement, and the longevity of this process, which is extremely stressful for Molly especialy and this impacts me, her staff team, and her day services, who are all trying their best to support her.

Olanzapine: Molly is still on 2.5mg of this drug; it has been reduced slowly from 7.5 due to the side effects and making Molly worse. She is now suffering withdrawal effects from Olanzapine:

Nausea

Dizziness

Headaches

Sleep disturbance

Brain Zaps (electric-shock-like sensations in the head)

Psychological symptoms such as anxiety, irritability, mood swings, and difficulty concentrating.

You or I can inform others how we feel, Molly cannot.

So I observe…. today I saw hand tremor, irritability, anxiety, and so much negativity, it was very challenging, again we must be patient and wait to see if the increase of lamotrigine will help Molly, if it does, then hopefully we can get her off the orlazpoine therafter.

I will remain consistent – to fail is not an option! Greatness will come! (fingers crossed)

Keep on keeping on ” My Silver Lining” (First Aid Kit)

Luv c x