I initially said no for months, for no apparant reason, and should have listened to my instincts. My then pdoc talked me into it. Had memory problems (some gone permanently) tremors so bad I couldn't write, and the worst flat effect that made me feel lost inside myself. I wasn't even on a high dosage add cognitive issues, like losing words, perpetual thirst and hunger, and the outcome was me flushing all my meds. Well, guess lithium was good for me afterall I like me better unmedicated!