In the past, Lithium alone used to be the gold standard of bp treatment. Kay Jamison has always been on Lithium alone.

Enter newer atypical AP's and most people are on them. I polled people here several months ago and the majority of medicated folks are on some sort of an AP.

I stopped having orgasms. Unclear why: anxiety, stress (which has been through the roof lately), low blood pressure, too much biking, or, perhaps, some pernicious effect from Geodon even at the lowered dose. So I am thinking of going off Geodon for a week to see what happens. But I do not want to try Abilify which I am sure will come with its own set of side effects. I just want to try preventing mania using Lithium alone.

D says that Lithium alone is insufficient - he says an AP of some sort is needed for bp. But then how about Kay Jamison?