So many quacks just pushing brands for big pharma... u don't hear too my psychiatrist belch out lithium.. or other forms that don't pay big pharma much..... I think that's the real issue in many circumstances and pretty darn sad..... people got real in some cases life threatening disorders and some quacks are withholding meds from them just because it hasn't been on a commercial in the last 10 or so years.. that's my personal opinion... just left my p doc after 2 years.. starting new and just started lithium. .. I hope for good things... (se can stay off the convo of lithium here though please)