For me lithium took awhile to "kick in" but helped as a mood stablizer. Yes, I too felt kind of out of it. Some of that went away as my body adjusted to the med.

The results of lithium going to toxic levels is no fun. Since everyone's body processes the lithium differently dosages for optimum results are not the same.

Be sure to keep your pdoc informed of all "symptoms" you notice and any additional meds you might be perscribed by another physician.