Flutterby, I recommend calling your mental health worker and telling him/her just what you told us - you want to take your lithium but your OCD is so bad that you can't swallow your pill and you need help. If he/she knows it's your OCD causing this I don't see how they would be mad at you. After all, you are calling for help. I would think they would be upset if you stopped taking your meds and did not call for help. I agree with Wander--it's not good to stop cold turkey. Please call your mental health worker for help.