Update: Saw my doctor again today. He doesn't think we need to rush into APs. He wants to see how I do on this higher dose of lithium. If we need more, we'll add some Depakote.

Thanks for the replies though. Pretty much confirmed what I already knew-APs suck.

As far as SSRIs, my pdoc and I decided awhile back that the benefits of lexapro outweigh the risks. Basically I monitor myself very closely.

And my lithium dose, I was only at about .6 at 1200mg/day. My sweet spot is between .8 and 1.0, so I'm not too worried about the high dose.