I have been on lithium, lamictal, paxil for about 5+ years now. Lithium saved my life. Took away depression. The tremmors get pretty bad but it is worth not being depressed. I am now seeing depression come back slowly. I am still trying to work very part time and babysit my 2 yr old grandson. It feels like I am climbing a very high and rugged mountain but i keep slipping and cannot make progress