Here's the thing with me and caffeine. It elevates my mood. I thought that's why everyone seems to like it so much. My hubby says I am the only person he has ever met who can lift out of a severe depression with caffeine. Too bad my mood comes back down when the caffeine wears off. I have found that one cup doesn't destabilize me, but it keeps me from wanting to sob all the time. Lithium is doing nothing for my depression so I am self medicating until psych NP finds something for me to try.

Seroquel, Wellbutrin, and Effexor all are metabolized through the liver, so they are not as susceptible to the pee out effect that Lithium is. Caffeine could be destabilizing in itself. Since you just gave up alcohol, cutting out caffeine may be too much for you now. Don't tell my T...but I purposely upped my caffeine intake to get around the Lithium. I am so tired of only having bad moods, and no more good....