I am in my mid 40's I have been on Effexor XR at 225/mg and Lamictal 300/mg a day for several years to treat bi-polar. I have been having problems with cognition, memory and concentration for many years and it seems to be getting worse. I have problems finding the right words, for example, I'll name 4 or 5 males names in my family before I say the right one, or i'll say glass instead of window. I can't remember things, for instance, while in the shower sometimes I can't remember if I've already shampooed my hair. I feel like I talk stilted and it's really embarrassing because I use to have really good communication skills. I recently attend a brain injury seminar and they mentioned medicines that affect cognition in survivors and that might actually delay recovery of certain abilities, one they mentioned were anti-seizure medicines. Could the lamictal I have taken for the last 5 years be contributing to my symptoms? Thank you in advance for your assistance.