That is a long list of meds you have tried in the past Special-K. How long have you been on the lithium? I know it takes time for meds to get in your system and fully function. Currently I'm taking Symbyax and Prozac. The Symbyax is working for my manic episodes, but I am still fighting with the depression. The Prozac is new so I'm trying to give it time to work. Can your Pdoc give you samples to help out? There are also some medicines they can subscribe that only cost 4 dollars at Wal*mart or Target. I hope you get your meds worked out.