Hi @baa
Have you been already at the Vanderbilt Epilepsy Center?
Exercising is well known to have anti-depressant benefits. There was a study pointing out that people with a light to moderate depression who were put on a brisk walk had the same results as people in the same condition but taking medication. Unfortunately, I can not find this study right now.
At the time I had my depression, I could barely walk due to a problem in my knee. Thank God, this has changed and I try to exercise daily, either with brisk walks or my Pilates. It makes me feel so good and also prevents new depression and reduces my anxiety.
Sometimes, depending on the emotional state, anti-depressants are needed and necessary. When I had my depression, I did sessions of TMS (transcranial magnetic stimulation) instead of taking medication (because I am very sensitive to medications) and it was very helpful. When I ended the sessions, my epileptologist has put me on a very low dosage of Fluoxetine, 15 drops of 20 mg every day (children's dosage as he said). This together with Yoga practicing, the philosophy of Yoga and the great support of my neuropsychologist put me out of that state. Thank God!!!
I recommend you talk to your epileptologist or neurologist and discuss what are the options available to you. My opinion, a neurologist or epileptologist will be able to prescribe meds that go along well with lacosamide and do not harm your epilepsy. Furthermore, such a doctor has also more knowledge to evaluate if what you are experiencing is from lacosamide or the epilepsy itself or even both of them.
Lots of hugs and crossing my fingers for you!
Chris (@santosha)