All of your latter paragraph's symptoms were cured for me by 50-75mg of Seroquel at night. Lil' devil again, but you don't necessarily need lithium, although I'm not a doc and you should ask them about alternatives. (like duh, you already know, it's just my disclaimer...thinker's advice may cause withdrawals, headaches, nausea, fine hand tremor, hallucinations of movie stars in your bedroom, and unauthorized pterodactyl screeches.)