MAOIs have more side-effects than Tricyclics. MAOIs are a last resort and should be treated as such, as they can be brain-chaning.
I would also give Lamictal a shot. Helped me with anxiety/social anxiety.
How much do you take? I've been considering trying lamotrigine as a replacement for my TCA. Some of those rare anticonvulsant side effects are downright scary though.
I take 125mg, 75 in the day and 50 at night (I seem to metabolize it faster than most people). It helps somewhat with the feeling of anxiety, a lot of it is still there, but it removes most of the physical expression of this anxiety, so that when I get anxious my body isn't in pain or shaking or looking akward, it's just an internal experience. Also, I normally have pretty bad mood swings, and this has stabilized it enough where I have really been able to grow as a person instead of running around in the same thought loops.
The Stephen-Johnson's side-effect doesn't occur in an instant. The rash slowly builds up over days, so you have to be pretty dumb to get seriously injured from it. The side effect profile of Lamictal is lower than any other mood stabilizer. About 10% of people experience some sort of rash, but this can usually be avoided by titrating up very slowly (I took almost 2 months to get to 175mg and then went back down). The best side-effect of Lamictal however, was the perception of colors. The world became absolutely gorgeous, in a way I had never seen before. This went away when I went on Amitriptyline, I would guess because of 5HT2A antagonism, but I am looking for a way to get off it. I could just stare outside for 10 minutes at a time looking at the trees in my window on a bright sunny day...
Why would you say that Memantine can do everything Lamictal can? Seems to work by different mechanisms. Please link to evidence showing mood stabilization, I'm interested.