Sounds like you are in a tough spot and I really feel for you. As for going back on Lithium I can say that when I had ECT last year I was taken off Lithium suddenly and put back on the original dose (it was 750mg back then) two weeks later with no tapering. I had no ill effects from this so I guess Lithium is one of those meds you can do it with. Since Lithium has been so useful for you in the past I would suggest you go back on it, even at a much lower dose, while you wait to see your pdoc. I will annoy you by saying I am not a doctor so I am only going on what worked for me. Please ask for the on-call pdoc if you become unsafe though. You are worth it, and the inconvenience of going through everything again is nothing compared to your life. Take care