It saved my life SG. I've been taking it for 25 years with no major manic or depressed episodes. I still suffer from dysthymia, so it is not a cure-all. But prior to lithium, my life was filled with repeated hospitalizations. I have few side-affects other than barely noticable hand tremors. There are no cognitive changes from this simple salt. The periodic blood tests are a pain but I'm used to them now. I hope you find something that is effective and reliable for you as well.