Thanks all, just got back from my appointment. Diagnosis hasn’t changed but she doesn’t agree with adding Lamotragine to the mix or changing anything as I still have two meds that aren’t at maximum dose yet. She has suggested I increase my venlafaxine to 300mg first and see her again at the end if January. I can’t say I’m overly keen at the thought as the last time I increased venlafaxine was horrendous but I’m hoping the quetiapine will make it a bit easier this time