I know some people who take Topamax develop problems with thinking, like memory, finding the right words, etc. If you go to crazy meds (google it) they describe it pretty well. If you google temporal lobe dysfunction a whack of stuff comes up! Are you speaking generally or specific to Topamax?
Ahh, yes, the fine balance between not depressed and not manic, a sacred place.I hope the Effexor does the trick for you, it is just as important like you say. I am doing fine. I was scared I was going manic last night , but I think it was too much caffeine which I really shouldn't be ingesting! Anyhow, things have smoothed out and I feel "normal"-I wish all the same for you too! Take care and hang in there!