Hmm... Sounds very strange to me. Have they done efficacy studies of lithium on people with borderline disorders, do you know?

I guess I'm just a lot surprised that your clinician's would be thinking 'bi-polar' all of a sudden.

There is a saying: 'Don't give lethal drugs to lethal people'. The difference between a theraputic dose and a lethal dose of lithium is fairly slight and lithium has been known to cause irreversible somatic disorders.

I guess if it were me I'd want to see the studies...

I thought you might feel mad at me because... This might have the promise of providing some hope. Maybe this will work. Maybe you will take it and you won't feel suicidal anymore. Maybe you will take it and you won't want to hurt yourself anymore. I don't want to undermine that hope... But then... I worry a little about what might be misguided too. Sorry for saying 'misguided'... I'm just fairly surprised by this turn of events.

I mean... Admittedly I've never seen you in person. But... While I do see that you feel a lot of distress at times... I don't think I've ever seen you fall into an 'objective' state of depression for 7 weeks. Reactive. Ups and downs (even though I appreciate that it mostly feels like downs). Of course I can't see your rate of speech and I can't see whether you have motor retardation. Your posts do flow, however, and you certainly don't seem to have the cognitive impairments typically associated with a major depressive episode.

I'm surprised that your p-doc would be so quick to prescribe lithium without trying safer meds that are often of some effectiveness such as tegretol or epilim. Maybe he has seen some studies I haven't...