I still cycled on lithium, hypo for a couple months last summer. I never got my bloodwork done as much as I was "supposed" to, but she was nice about it. Lithium is a feel good drug the way I see it - it helped pulled me out of a dark long depression. Maybe you need something else to keep mania away if you're worried about it. I mostly like & welcome my hypos, until they turn mixed or irritable rage. Try to talk to doc about how u feel the mania coming on & how you want it. Don't let him/her dismiss the topic, get advice - coping techniques, hopefully not just more drugs stacked on. Hang in there, let us know how it goes.