I stopped Lithium after a small titration (I had been on it a few years). For about three months I was fine then I was hit with a series of bad mixed episodes. Lithium seems to calm me down, reduce impulsivity and wild mood swings...to a point. I doubt I will be going off it for a long time now after that experience. I certainly felt more 'alive' but my moods were more labile. It became dangerous.
But that is my experience as BP1. You do need to tell your pdoc. They can't make you take meds but they can weigh in on the effects and what might be best for you at this point. Be careful and watchful for any episodes.
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Bipolar 1 with psychotic features
PTSD
"Phew! For a minute there I lost myself."
'Karma Police' by Radiohead
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